身体外膜氧化穿戴和固定实践:一个点患病率研究
Amanda Corley1, India Pearse2, Jayshree D Lavana3
1Critical Care Research Group, The Prince Charles Hospital and University of Queensland, Brisbane, Queensland, Australia; School of Nursing and Midwifery, Griffith University, Nathan, Queensland, Australia; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
概括
确保体外膜氧化 (ECMO) 管的做法在澳大利亚和新西兰之间有很大差异,对现有指南的遵守程度较低. 需要进一步的研究,以建立最佳的技术,以改善患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 心血管外科心血管外科
- 生物医学工程 生物医学工程
背景情况:
- 身体外膜氧化 (ECMO) 管的有效固定对于防止迁移,脱落和感染等并发症至关重要.
- 目前的做法缺乏基于证据的指导方针,需要了解现有方法.
研究的目的:
- 描述目前在澳大利亚和新西兰对ECMO导管和电路管道进行包装和固定的做法.
主要方法:
- 在11个中心进行了12个月的前性观察点患病率研究.
- 在12个不同的时期内收集了所有接受ECMO治疗的合格患者的数据.
主要成果:
- 在外围插入的管中,透明的半透敷料很常见.
- 针经常用于儿科患者的中央管,而无器件用于电路管道是常见的.
- 尽管大多数中心都有指导方针,但遵守率很低 (12%的插入点,6%的管道).
结论:
- 在ECMO的管包装和固定实践中存在显著的差异.
- 对地方指导方针的遵守程度较低,凸显了当前实践中的差距.
- 需要进一步的证据来开发最佳技术,并为临床实践指南提供信息.
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