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在医院前设置中的快速序列输管过程:范围审查
T J Mathobela1, N Mshunqane1, T L Khoza1
1Department of Emergency Medical Care and Rescue, Durban University of Technology, Mansfield Campus, Durban, South Africa.
概括
在医院前设置中的快速序列输管 (RSI) 是安全有效的,当由经过培训的人员使用检查清单和强有力的临床治理进行时. 这种方法产生了与医院环境相比的结果,改善了患者安全和临床结果.
科学领域:
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
- 航空航道管理的管理.
背景情况:
- 确保患者的呼吸道是医院前紧急护理的关键优先事项.
- 快速序列输管 (RSI) 优化了使用特定药物插入内管的条件.
- 对于重症患者来说,RSI至关重要,以减轻吸血,发病率和死亡率的风险.
研究的目的:
- 系统地审查和绘制当前关于基于证据的元素和指导在医院前RSI的指导的研究.
- 描述医院前呼吸道管理领域最新研究的范围和性质.
主要方法:
- 使用了一个范围审查框架 (Arksey和O'Malley,由JBI改进).
- 在Scopus,Web of Science和PubMed进行了搜索,寻找2000-2023年间发表的全文文章.
- 从40篇符合条件的文章中提取和主题分析数据,分为七个主题.
主要成果:
- 选了2585个标题和摘要,确定了40个相关文章.
- 关键主题包括RSI准备,程序,培训,系统要求,临床治理,标准化和不良事件.
- 医院前RSI (PRSI) 显示成功率和并发症率与医院内设置相比或更好.
结论:
- 当由经过适当培训的专业人员进行时,医院前的RSI是可以实现和有效的.
- 检查清单和强有力的临床治理对于尽量减少不良事件和改善患者结果至关重要.
- 本综述为临床实践,培训和医院前呼吸道管理的未来研究提供了见解.
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