高流量鼻风险的"8D":一个范围审查
Jace D Johnny1, Jeana Escobar2, Ray Van Cao3
1Jace D. Johnny is a nurse practitioner, Division of Pulmonary and Critical Care Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, and a PhD student and adjunct assistant professor, University of Utah College of Nursing, Salt Lake City.
针对急性呼吸衰竭的高流量鼻治疗存在风险,包括恶化和死亡. 需要进一步研究与设备相关的事件,延迟,处置,衰弱和痛苦.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统医学 呼吸系统医学
- 证据综合 证据综合
背景情况:
- 高流量鼻腔管 (HFNC) 治疗是急性呼吸衰竭的常见治疗方法.
- 虽然有益,但HFNC治疗存在风险,例如治疗失败和延迟输管.
- 了解这些风险对于患者护理和研究方向至关重要.
研究的目的:
- 系统地审查和分类与急性疾病成年患者的HFNC治疗相关的风险.
- 识别现有文献中最频繁报告的风险.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了全面的范围审查.
- 在主要数据库 (PubMed,Embase,CINAHL Complete,medRxiv) 进行了搜索.
- 数据被提取,使用Python (Jupyter Notebook) 进行分析,并创建了一个在线存储库.
主要成果:
- 在选2975个初步结果后,包括了343篇文章.
- COVID-19是研究最多的疾病 (n=145),在2022年 (n=110年) 发表的出版物达到峰值.
- 鉴定到的风险被分为8组:恶化,死亡,与设备相关的事件,延迟,处置,虚弱,痛苦和消化不良 (8D).
结论:
- 使用HFNC治疗的急性病患者面临8种风险类别.
- 病情恶化和死亡是最经常记录的风险.
- 与设备相关的事件,延迟,处置,衰弱和痛苦需要进一步调查.
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