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[有创家庭机械通气的建议]

[Recommendations for invasive home mechanical ventilation].

作者信息

Randerath W J, Kamps N, Brambring J, Gerhard F, Lorenz J, Rudolf F, Rosseau S, Scheumann A, Vollmer V, Windisch W

机构信息

Krankenhaus Bethanien, Institut für Pneumologie an der Universität Witten/Herdecke, Klinik für Pneumologie und Allergologie, Zentrum für Schlaf- und Beatmungsmedizin.

出版信息

Pneumologie. 2011 Feb;65(2):72-88. doi: 10.1055/s-0030-1256121. Epub 2011 Feb 3.

Abstract

Due to chronic respiratory failure, a proportion of patients require long-term home ventilation therapy. The treating doctors, nurses and therapists, as well as employees of the health insurance provider, all require specialized knowledge in order to establish and monitor home ventilation. The following document represents a consensus formed by the participating specialist societies, the health insurers and their medical advisory services. The recommendations for accomplishing home mechanical ventilation are based on the "S2 Guidelines for Non-Invasive and Invasive Mechanical Ventilation for Treatment of Chronic Respiratory Failure", and provide advice about the necessary qualifications of medical and nursing practitioners working in specialised ventilation centres or in the home setting. Management of transfer, which comprises the medical, technical and organisational requirements for releasing the patient from hospital care, is of paramount importance. In outpatient care, the requirements for the recruitment of resources, monitoring of procedures, adjustment of ventilation, and frequency of check-ups are each addressed. The recommendations are supplemented by appendices which include patient transfer forms, checklists for the supply of basic resources for home ventilation, as well as a template for the letter of discharge from hospital.

摘要

由于慢性呼吸衰竭,一部分患者需要长期的家庭通气治疗。主治医生、护士和治疗师以及健康保险机构的工作人员都需要专业知识来建立和监测家庭通气。以下文件代表了参与的专业协会、健康保险公司及其医学咨询服务机构达成的共识。关于实现家庭机械通气的建议基于“慢性呼吸衰竭无创和有创机械通气治疗的S2指南”,并就专业通气中心或家庭环境中工作的医护人员的必要资质提供建议。转诊管理包括将患者从医院护理中释放出来的医疗、技术和组织要求,至关重要。在门诊护理中,分别阐述了资源招募、程序监测、通气调整和检查频率的要求。建议还附有附录,包括患者转诊表格、家庭通气基本资源供应清单以及医院出院信模板。

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