通过中度镇静来维持营养的安全性 烧伤伤护理
Amber D Kohler1,2, Scott W Mueller1,3, Naveen Kukreja1,4
1UCHealth Burn and Frostbite Center, University of Colorado Hospital, 12605 E 16th Ave, Anschutz Inpatient Pavilion, Aurora, CO 80045, USA.
概括
在中度镇静期间维持营养,以照顾烧伤是安全的. 这项研究发现,在继续口服或输液管养的烧伤患者中,没有发现吸气并发症,这表明这种脆弱人群的安全做法.
科学领域:
- 医学麻醉学医学麻醉学
- 烧伤护理 烧伤护理
- 关键的护理关键的护理
背景情况:
- 烧伤患者经常需要适度镇静剂来护理伤口.
- 目前的指导方针建议在中度镇静之前禁食 (零每小时).
研究的目的:
- 评估中度镇静在烧伤患者中保持不间断营养的安全性.
- 评估吸血和其他并发症的风险.
主要方法:
- 一个12个月的回顾性分析非输管烧伤患者接受中度镇静治疗的伤口护理.
- 收集了关于营养时间,药物,镇静水平 (里士满兴奋镇静得分) 和不良事件的数据.
- 分析包括持续口服和胃管养的患者.
主要成果:
- 在24名患者身上进行了97次镇静.
- 在镇静之前,营养的中位数是38分钟;33%的人有连续的管道养.
- 没有出现与吸入相关的并发症 (吐,吸入,肺炎,低氧化,呼吸道阻塞,死亡). 已注意到高血压和低血压.
- 吸入并发症的97.5%上置信区间为3.7%.
结论:
- 不间断的营养,包括连续的胃管养,在中度镇静期间似乎是安全的.
- 在这个队列中没有观察到与维持营养相关的有害不良事件.
- 这种做法需要在更大的研究中进一步调查.
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