关键护理运输医学环境中的确切的气道管理:基于检索专家的探索性方便调查分析,对深度冲击状态的患者进行分析
Craig Tschautscher1, Christopher Stephens2, Steven Bott3
1BerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI; UW Health Med Flight, Madison, WI.
危急病,不稳定的患者的呼吸道管理需要特定的策略. 研究表明,降低镇静和潜在的仅麻输管可能会改善深度休克患者的结果.
科学领域:
- 关键护理医学 关键护理医学
- 紧急医疗 紧急医疗
- 在医院前的护理.
背景情况:
- 在医院前环境中,血液动力学不稳定的患者的气道管理具有挑战性.
- 有限的文献存在于医院环境之外的深度休克患者的输入管道.
研究的目的:
- 描述用于输管患者具有显著的血液动力学不稳定的挑战和策略.
- 收集来自重症监护运输医学 (CCTM) 专家的见解.
主要方法:
- 在线调查分发给了空中医疗医生研讨会 (AMPS) Lite. Lite的与会者.
- 参与者包括来自美国和国际不同计划的CCTM专家.
- 调查涉及最佳实践,知识差距,障碍和研究优先事项.
主要成果:
- 了解输管的生理和药理原理至关重要.
- 需要对休克和麻症患者的纯麻管内注射中镇静剂剂量进行研究.
结论:
- 需要进一步调查,以建立基于证据的指导方针,用于深度休克患者的直管.
- 减少镇静和考虑仅用于麻的输管可能会降低心血管崩的风险并改善结果.
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