国际调查显示,超节气道装置不常用于表面活性剂的管理
Prakash Kannan Loganathan1,2,3, Fiona Pitman1, Mahmoud Montasser4
1Neonatal Intensive Care Unit, The James Cook University Hospital, Middlesbrough, UK.
Acta paediatrica (Oslo, Norway : 1992)
|April 3, 2025
概括
超管气道装置很少用于表面活性剂的管理,尽管对具有有限的输管能力的单位有潜在的好处. 缺乏培训和证据阻碍了这种表面活性剂输送方法的广泛采用.
科学领域:
- 新生儿医学 新生儿医学
- 儿科重症监护 儿科重症监护
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 表面活性剂替代疗法对于呼吸困难综合征至关重要.
- 传统的表面活性剂施用方法 (内管,导管) 需要喉腔镜检查,并带有风险.
- 超管气道 (SGA) 装置为气道管理和药物输送提供了替代方案.
研究的目的:
- 评估当前的国际实践,即使用超节气道装置进行表面活性剂的管理.
- 为了识别障碍和潜在的未来使用SGA在表面活性剂的交付.
主要方法:
- 在2023年9月至2024年6月期间进行了一项国际在线调查.
- 该调查收集了关于单位结构,表面活性剂的管理实践和SGA的作用的数据.
- 答案集中在目前的使用,未来的意图,以及SGA在表面活性剂输送中的感知效用.
主要成果:
- 收到了75个回复,主要来自英国 (73%) 和重症监护病房 (55%).
- 只有12个单位报告使用SGA进行表面活性剂的管理;53只用于输管失败.
- 22个单位计划在未来使用SGA进行表面活性剂的输送; 5个特殊护理单位发现它们对有限的输管技巧有用.
结论:
- 目前SGA用于表面活性剂的使用是有限的.
- 关键的障碍包括缺乏培训,既定准则和支持证据.
- 可能需要进一步的研究和培训,以促进SGA在表面活性剂输送方面更广泛地采用.
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