在一般住院病房中自由化最大高流量鼻腔管流量率与患有支气管炎的婴儿重症监护入院减少有关
Chris Miller1, Michelle Dunn2, Jeremy Jones1,2
1Division of Pediatric Emergency Medicine.
增加住院病房的高流量鼻腔管 (HFNC) 氧气率,减少了患有支气管炎的婴儿的重症监护入院. 这种政策变化似乎是安全的,没有增加护理升级或停留时间.
科学领域:
- 儿科 儿科 儿科
- 呼吸系统医学 呼吸系统医学
- 临界护理医学 临界护理医学
背景情况:
- 支气管炎是一种常见的儿科呼吸道感染.
- 高流量鼻腔管 (HFNC) 氧气治疗越来越多地用于患有支气管炎的婴儿.
- 以前的指导方针限制了住院病房 (IP) 的HFNC流量.
研究的目的:
- 评估增加HFNC流速最大值对患有支气管炎的婴儿重症监护利用的影响.
- 在IP设置中评估更高HFNC流速的安全性.
主要方法:
- 在第三级护理儿童医院进行的回顾性前后队列研究.
- 包括没有出现支气管炎的复杂慢性疾病的婴儿 (2018-2020年).
- 分析了患者的处置,IP到儿科重症监护室 (PICU) 的转移,护理升级,以及在政策变化之前和之后的住院时间,将允许的HFNC流量增加到IP病房的2L/分钟/公斤.
主要成果:
- 在调整混因素后,整体住院率没有显著增加.
- 观察到PICU入院人数显著减少.
- 没有增加IP到PICU转移,护理升级或住院时间的风险.
结论:
- 在IP病房中,将HFNC流量增加到2L/分钟/千克与患有支气管炎的婴儿重症监护入院的减少有关.
- 政策变化似乎是安全的,照顾升级和停留时间的稳定率证明了这一点.
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