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在社区重症监护病房实施多学科呼吸机撤机与镇静方案。

Implementation of a multidisciplinary ventilator-weaning and sedation protocol in a community intensive care unit.

作者信息

Rumpke Amanda L, Zimmerman Beth A

机构信息

Mercy Hospital, Fairfield, Ohio, USA.

出版信息

Dimens Crit Care Nurs. 2010 Jan-Feb;29(1):40-9; quiz 50-1. doi: 10.1097/DCC.0b013e3181be4bbf.

DOI:10.1097/DCC.0b013e3181be4bbf
PMID:20010197
Abstract

Prolongation of mechanical ventilation poses serious personal and financial threats to healthcare consumers. To that end, many healthcare-related groups have established mechanisms for rapid weaning and subsequent extubation of mechanically ventilated patients. Our objectives were to create and implement an evidenced-based, multidisciplinary care-driven ventilator-weaning protocol as well as revise existing ventilator sedation protocols to decrease length of stay in addition to time spent on the ventilator. Our findings are presented in this article.

摘要

机械通气时间延长对医疗消费者构成了严重的个人和经济威胁。为此,许多医疗相关团体已建立机制,以促进机械通气患者的快速撤机及随后的拔管。我们的目标是创建并实施一项基于证据、多学科护理驱动的通气撤机方案,以及修订现有的通气镇静方案,以减少住院时间和机械通气时间。我们的研究结果将在本文中呈现。

相似文献

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Implementation of a multidisciplinary ventilator-weaning and sedation protocol in a community intensive care unit.在社区重症监护病房实施多学科呼吸机撤机与镇静方案。
Dimens Crit Care Nurs. 2010 Jan-Feb;29(1):40-9; quiz 50-1. doi: 10.1097/DCC.0b013e3181be4bbf.
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Sedation and weaning from mechanical ventilation: effects of process optimization outside a clinical trial.镇静与机械通气撤机:临床试验之外的流程优化效果
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Collaborative practice: development, implementation, and evaluation of a weaning protocol for patients receiving mechanical ventilation.协作实践:接受机械通气患者撤机方案的制定、实施与评估
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Protocol-driven ventilator management in children: comparison to nonprotocol care.儿童协议驱动的呼吸机管理:与非协议护理的比较。
J Intensive Care Med. 2004 Sep-Oct;19(5):274-84. doi: 10.1177/0885066604267646.
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Nurse-driven, protocol-directed weaning from mechanical ventilation improves clinical outcomes and is well accepted by intensive care unit physicians.护士主导的、基于协议的机械通气撤机策略可改善临床结局,且得到重症监护病房医师的广泛认可。
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Impact of a nurses' protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for longer than 48 hours: a prospective cohort study with a matched historical control group.护士方案指导下的撤机程序对机械通气超过48小时患者预后的影响:一项设有匹配历史对照组的前瞻性队列研究
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[Sedation with stimulative circadian rhythm in mechanically ventilation patients in intensive care unit].[重症监护病房机械通气患者中具有刺激昼夜节律的镇静]
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Impact of a clinical pharmacist-enforced intensive care unit sedation protocol on duration of mechanical ventilation and hospital stay.临床药师实施的重症监护病房镇静方案对机械通气时间和住院时间的影响。
Crit Care Med. 2008 Feb;36(2):427-33. doi: 10.1097/01.CCM.0000300275.63811.B3.

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