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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.

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。

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