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探索在ICU中使用四个外周神经监测列车的障碍

Khrizna Belardo Chong¹, Jennifer Harris, Angela Klinkhamer

¹Author Affiliations: Cardiovascular Clinical Nurse Specialist (Ms Chong), Neurocritical Care Clinical Nurse Specialist (Ms Harris), Critical Care Clinical Nurse Educator (Ms Klinkhamer), Critical Care Clinical Nurse Specialist (Ms Fojas), 3GH Intensive Care Unit, Clinical Nurse Specialist (Ms Attanasio), Nurse Manager, Cardiovascular ICU (Ms Chau), Registered Nurse, Burn ICU (Mr Park), Clinical Nurse Specialist, PCU (Ms Kovacs), Nurse Scientist (Dr Davidson), UC San Diego Health, San Diego, California.

Critical care nursing quarterly

|September 29, 2025

概括

由于程序不一致和设备问题,护士对使用四列车 (TOF) 视觉监测神经肌肉阻塞缺乏信心. 实施定量电肌图 (Q-EMG) TOF监测可以提高准确性,克服ICU中的这些障碍.

科学领域:

麻醉学麻醉学
关键护理医学关键护理医学
护理研究护理研究

背景情况:

神经肌肉阻塞 (NMBA) 需要使用四列车 (TOF) 刺激进行监测.
目前的TOF监测依赖于视觉评估,对护理障碍的理解有限.
定量电肌图 (Q-EMG) 是推的,但在重症监护室 (ICU) 中未得到充分利用.

研究的目的:

探索重症监护室 (ICU) 护士对TOF监测的经验.
确定阻碍TOF监测在临床实践中有效使用的感知障碍.

主要方法:

使用半结构面试进行定性研究设计.
对6个ICU的30名ICU护士采访数据的专题分析.
探索护士对TOF监测及其挑战的看法.

主要成果:

两个主要主题出现了:对视觉TOF监控缺乏信心和程序实施不一致.
信任问题源于设备问题,难以可视化抽,以及缺乏基线数据.
障碍包括皮肤访问的挑战和优先考虑通风器同步而不是TOF监控.

结论:

目前的障碍导致TOF监测的滥用或不使用,影响患者的安全.
定量电肌图 (Q-EMG) TOF监测可以提高信心,克服现有的程序性障碍.
需要进一步的研究来评估Q-EMG TOF在ICU环境中的实施.

关键词:

在 ARDS 中,ARDS 是指 ARDS 的类型.先进的实践护理护理工作麻醉是一种麻醉.设备设备的设备设备的设备.监控监控监控监控监控监控神经肌肉阻塞 - 神经肌肉阻塞感知感知感知感知有关定量监测的定量监测技术技术的技术技术的技术.这是一辆四人列车.

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