这是POCUS辅助的治疗性胸腔缩
Major William C Moreo1, Kelly Ball
1Author Affiliation: Army Nurse Corps, United States Army, Joint Base San Antonio, Texas (Moreo); and Interventional Pulmonology, UC San Diego Health, San Diego, California (Ball).
Advanced emergency nursing journal
|September 22, 2025
概括
治疗性胸腔切除,以护理点超声波 (POCUS) 为指导,可以在急诊室为大排泄提供症状缓解. 这种程序,当由熟练的从业者进行时,确保安全有效的患者护理.
科学领域:
- 紧急医疗 紧急医疗
- 肺部病理学 肺部病理学
- 医疗程序 医疗程序
背景情况:
- 大量的肺流会导致呼吸系统受损和血液动力学不稳定.
- 缺乏合规性和有限的随访等因素增加了急诊室 (ED) 干预的需要.
- 治疗性胸腔切开术是治疗症状性多流的关键手术.
研究的目的:
- 为提供对ED中超声导向治疗胸腔切开术的全面概述.
- 讨论说明,禁忌,以及手术后的护理.
- 突出紧急护士从业人员在优化该程序中的作用.
主要方法:
- 对治疗性胸腔切开手术的审查.
- 整合护理点超声波 (POCUS) 进行指导.
- 讨论患者选择和管理的临床决策.
主要成果:
- 在POCUS指南中,提升了胸腔穿的安全性和有效性.
- 清晰的指示和禁忌对于适当的患者选择至关重要.
- 有效的术后护理对于预防并发症至关重要.
结论:
- 在胸腔切开和POCUS方面的能力赋予急救护士实践者的权力.
- 优化程序利用,为患有多叶流液的患者提供安全,高质量的护理.
- 超声导向胸腔切口是ED设置中的一个有价值的工具.
相关概念视频
Endoscopic Studies II: Thoracocentesis
1.3K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.3K
Chest Physiotherapy
1.7K
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
1.7K
Pneumothorax-II
921
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
921
Tracheostomy Suctioning II: Procedure
1.5K
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
1.5K
Oxygen Delivering System III: Tracheostomy and T-piece
5.5K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
5.5K
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
537
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
537


