照料患有阻塞性睡眠呼吸暂停的肥胖症患者。

Caring for the bariatric patient with obstructive sleep apnea.

作者信息

Ecklund Margaret M, Kurlak Stefan A

机构信息

Pulmonary Medicine, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.

出版信息

Crit Care Nurs Clin North Am. 2004 Sep;16(3):311-7, vii. doi: 10.1016/j.ccell.2004.03.004.

DOI:10.1016/j.ccell.2004.03.004

PMID:15358380

Abstract

Caring for the bariatric patient in the acute care environment poses many challenges to the team delivering care. The management of obstructive sleep apnea with noninvasive ventilation is one priority. Treatment options, including bi-level ventilation and continuous positive airway pressure, and delivery strategies are reviewed in conjunction with other aspects of care that ensure a holistic, comprehensive plan of care. The most effective plan of care for the bariatric patient is one that uses a multidisciplinary coordinated team effort.

摘要

在急症护理环境中照顾肥胖症患者给提供护理的团队带来了诸多挑战。使用无创通气管理阻塞性睡眠呼吸暂停是一个优先事项。结合确保全面、综合护理计划的其他护理方面，对包括双水平通气和持续气道正压通气在内的治疗选择及输送策略进行了综述。针对肥胖症患者最有效的护理计划是采用多学科协作团队努力的计划。