机械通风儿童的 Delirium 和相关风险因素:一个前性的观察性研究
Cong-Hui Fu1, Min-Jie Ju1, Yan Li1
1Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Clinical nursing research
|October 21, 2025
概括
痴呆症在接受机械呼吸 (MV) 的儿童中很常见,影响83.8%的儿童. 关键的风险因素包括年轻,限制和低氧和,指导未来的干预措施.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 神经科学是一个神经科学.
- 密集护理医学 密集护理医学
背景情况:
- 痴呆症是儿科重症监护病房的一个重要问题.
- 机械通风 (MV) 是重症儿童的常见干预措施.
- 了解这种人群中的妄想患病率和危险因素对于改善结果至关重要.
研究的目的:
- 调查接受机械通风 (MV) 的儿童 Delirium 的流行情况.
- 确定与严重病患儿童的痴呆症相关的危险因素.
- 为制定有针对性的干预策略提供信息.
主要方法:
- 一项前性观察性研究,招募了160名29天至18岁的儿童,接受MV>24小时.
- 使用康奈尔儿科狂妄症评估评估的狂妄症.
- 通过电子医疗记录收集的数据,包括人口统计,疾病和治疗特征.
主要成果:
- 在MV的儿童中,妄想的发病率高达83.8%.
- Delirium 发作发生在 MV 的中位数为 1.5 天,其中 74.6% 发生在 extubation 之前 ≥24 小时.
- 确定了独立的风险因素:年龄 ≤ 5 岁,身体限制,儿科连续器官衰竭评估得分和较低的 SpO2.
结论:
- 痴呆症在机械通风的儿科患者中非常普遍.
- 年龄较小,身体限制,疾病严重程度 (pSOFA评分) 和低氧化血是显著的危险因素.
- 识别这些危险因素可以指导开发预防和治疗策略的儿科 Delirium 在ICU.
相关概念视频
Assessment of Ventilation I: Respiratory Rate
1.9K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
1.9K
Mechanical Ventilation I: Indication and Settings
2.5K
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
2.5K
Acute Respiratory Failure-IV
508
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
508
Mechanical Ventilation II: Invasive Ventilation
620
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
620
Pneumonia III: Complications and Assessment
777
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
777
Mechanical Ventilation III: Noninvasive Ventilation
508
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
508


