肺部超声波在儿科和新生儿医院前护理:一个观察性研究
Judit Becerra-Hervás1, Anna Solé-Ribalta1, Mònica Girona-Alarcón1
1Servei Emergències Mèdiques Pediàtriques i Neonatals, Hospital Sant Joan de Déu, Universitat de Barcelona (UB), Barcelona, Spain.
概括
肺部超声波 (LUS) 是儿科和新生儿运输团队的宝贵工具,有助于诊断和管理. 在这种环境中使用它可以提高重症监护运输期间的患者安全性和诊断准确性.
科学领域:
- 紧急医疗 紧急医疗
- 儿科重症监护 儿科重症监护
- 诊断成像 诊断成像 诊断成像
背景情况:
- 护理点超声波,特别是肺超声波 (LUS),越来越多地用于儿科和新生儿重症监护.
- 它在儿科患者的医院前护理中的应用理解较少.
- 本研究侧重于LUS在专业运输单位中的实用性.
研究的目的:
- 分析肺超声波 (LUS) 在儿科和新生儿运输单位的诊断和管理实用性.
- 评估LUS对在设施间运输期间的患者护理的影响.
- 在医院前的重症监护环境中评估LUS发现的准确性.
主要方法:
- 在儿科和新生儿高级生命支持运输单元的前性观察研究 (2021年3月至2023年9月).
- 包括在稳定或转移期间接受床边LUS的患者.
- 记录和分析流行病学,临床,运输和LUS数据.
主要成果:
- 在运送的2452名患者中,有89名患者进行了肺部超声波 (LUS).
- 呼吸困难/色是LUS的主要症状 (70例),在新生儿中常见的是短暂的呼吸暂停和气吸入.
- 在87.1%的病例中,LUS发现得到证实,并在35.9%的患者中影响了治疗.
结论:
- 儿科和新生儿运输团队合理应用肺部超声波可以提高诊断方向.
- LUS协助管理评估,从而提高运输过程中的患者安全.
- 床边LUS是儿童和新生儿患者重症监护运输的有益工具.
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