高流量鼻治疗对儿科重症监护病房机械通风持续时间的影响
Jaeyoung Choi1, Esther Park2, Hyejeong Park3,4
1Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
PloS one
|December 13, 2024
概括
在儿科重症监护室的高流量鼻腔管 (HFNC) 治疗减少了机械通风的持续时间. 这种疗法对需要长时间通风或术后护理的儿童特别有益.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 呼吸辅助技术 呼吸辅助技术
- 医疗服务研究 医疗服务研究
背景情况:
- 高流量鼻腔管 (HFNC) 治疗越来越多地用于儿科重症监护室 (PICU).
- 在PICU患者中,HFNC对机械通风持续时间的全国影响尚未研究.
研究的目的:
- 评估HFNC对儿童重症监护病房机械通风持续时间的全国影响.
- 为了比较HFNC实施前后的机械通风持续时间和无通风器日.
主要方法:
- 从2012-2019年使用韩国国家医疗保险数据库对儿科患者 (28天至17岁) 的回顾性分析.
- 在HFNC之前和HFNC之后的时期的比较 (12个月前/后的HFNC,有6个月的过渡).
- 多变量回归分析以比较机械通风持续时间和无通风器日.
主要成果:
- 调整后的分析显示,HFNC实施后的机械通风持续时间减少了0.99天.
- 在长时间通风 (>28天) 和手术/神经学子组的患者中观察到显著的减少.
- 没有呼吸机的日数仅在整体手术组增加了0.31天.
结论:
- 在PICU设置中的HFNC应用可以减少机械通风的持续时间.
- 这些益处在需要长时间机械通风或在术后护理的儿科患者中最为明显.
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