Salyer J W, Chatburn R L
Rainbow Babies and Childrens Hospital, Cleveland, OH.
Respir Care. 1990 Sep;35(9):879-88.
Because little information has been available regarding common respiratory care practices in neonatology and pediatrics, it has been difficult to develop departmental standards of care. We therefore conducted a national survey of current practices, hoping to establish whether any de facto standards exist in the U.S.
A 47-item multiple-choice survey instrument was mailed in 1988 to 689 U.S. hospitals that included all neonatal and perinatal high-risk centers.
Response was received from 323 hospitals, for a 47% response rate. Some de facto standards do seem to exist, notably (1) q 2 h ventilator checks, (2) continuous measurement of oxygen concentration in oxygen hoods and ventilator circuits, (3) staffing ratio of four ventilator patients to one respiratory care practitioner, and (4) changing of ventilator circuits q 48 h.
While we do not claim that such de facto standards have a scientific basis, we suggest that respiratory care services whose practices vary from the de facto standards should investigate why their own practices differ and whether they can be justified.
由于关于新生儿科和儿科常见呼吸护理实践的信息很少，因此很难制定科室护理标准。因此，我们对当前的实践进行了全国性调查，希望确定美国是否存在任何实际标准。
1988年，一份包含47个选择题的调查问卷被邮寄给了689家美国医院，这些医院包括所有新生儿和围产期高危中心。
收到了323家医院的回复，回复率为47%。一些实际标准似乎确实存在，特别是：（1）每2小时进行一次呼吸机检查；（2）持续测量氧气罩和呼吸机回路中的氧气浓度；（3）四名使用呼吸机的患者配备一名呼吸护理从业者的人员配备比例；（4）每48小时更换一次呼吸机回路。
虽然我们并不认为这些实际标准有科学依据，但我们建议，实践与实际标准不同的呼吸护理服务部门应调查其自身实践为何不同以及这些差异是否合理。
