在医院间运输期间,用于稳定急性支气管炎患者的非侵入性通风
Santiago Rodríguez-Tubío Dapena1, Miriam Morey-Olivé1, María Romero-Carmona1
1Unidad de Transporte Pediátrico y Neonatal, Hospital Universitario Vall d'Hebron, Barcelona, Spain; Sistema d'Emergències Mèdiques, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain.
Anales de pediatria
|February 8, 2025
概括
儿童急性支气管炎 (AB) 运输送医院早期启动非侵入性通风 (NIV) 改善了患者的稳定性. 在NIV使用中培训医院工作人员可以减少医院间转移期间的并发症.
科学领域:
- 儿科重症监护 儿科重症监护 儿科重症监护
- 呼吸系统药物 呼吸系统药物
- 运输医学 运输医学
背景情况:
- 急性支气管炎 (AB) 是一种常见的儿童呼吸系统疾病,需要住院治疗.
- 非侵入性通风 (NIV) 越来越多地用于管理严重的AB,包括在医院间运输期间.
- 启动NIV的时间和地点 (发送医院与运输团队) 可能会影响患者的治疗结果.
研究的目的:
- 为了比较急性支气管炎 (AB) 患者的患者特征和结果,这些患者使用非侵入性通风 (NIV) 进行运输.
- 评估由发送医院 (SH) 或儿科运输团队 (PTT) 启动NIV对患者稳定性和并发症的影响.
主要方法:
- 对263名需要NIV的AB患者的医院间运输进行了回顾性,观察性,单中心研究 (2021年1月 - 2024年3月).
- 通过SH (n=119) 与PTT (n=144) 的NIV启动的比较.
- 分析稳定时间,临床严重性得分 (BROSJOD),氧气需求和与运输有关的事件.
主要成果:
- 由SH启动的NIV与更短的稳定时间相关 (中位数为40分钟与47分钟).
- 在SH启动的NIV患者的BROSJOD得分和运输期间的氧气需求较低.
- 轻微的并发症 (例如,泄漏,异步) 在SH启动组中更频繁 (总体为14.1%).
结论:
- 在发送医院早期启动NIV可以使急性支气管炎患者在运输过程中受益,从而改善临床状况.
- 在NIV技术中培训派遣医院工作人员,可以减少在医院间转移期间与其使用相关的并发症的发生率.
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