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在土耳其的重症治疗师中,机械通风模式的偏好:全国范围的点流行研究
Süleyman Yildirim1, Nurhayat Kilinç Özgün2, Özcan Alpdoğan2
1Intensive Care Unit, İzmir School of Medicine, University of Health Sciences, Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, İzmir, Turkiye.
传统的通风方式,特别是SIMV,在土耳其ICU中很普遍. 适应模式不太常见,突出了熟悉和资源对机械通风策略的最终偏好的潜在影响.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 重症监护病房管理部门的管理.
背景情况:
- 侵入性机械通风 (IMV) 对于ICU的呼吸衰竭管理至关重要.
- 了解当前的通风模式实践对于优化患者护理至关重要.
- 土耳其的ICU显示出对传统通风模式的强烈偏好.
研究的目的:
- 描述土耳其ICU的机械通风模式偏好.
- 报告与通风模式相关的描述性临床结果.
- 确定使用常规,自适应和双相通风的模式.
主要方法:
- 全国范围的多中心点患病率研究于2024年4月17日进行.
- 包括成年患者 (≥18岁) 在IMV上超过24小时.
- 收集有关人口统计,通风模式,参数和28天结果 (断奶,气管切割,死亡率) 的数据.
主要成果:
- 在426名患者中,84.5%的患者接受了传统模式,10.6%的适应模式和4.9%的双相治疗.
- 同步间歇强制通风 (SIMV) 是最常见的常规模式.
- 急性呼吸衰竭,主要是肺炎,是IMV的主要征兆;观察到43.4%的死亡率.
结论:
- 传统模式,特别是SIMV,主导着土耳其ICU通风实践.
- 适应模式的使用率较低可能源于熟悉,资源或机构因素.
- 需要进一步进行比较研究,以澄清通风模式对患者结果的影响.
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