患有复杂疾病儿童的呼吸护理考量
Respiratory Care Considerations for Children with Medical Complexity.
作者信息
Chiang Jackie, Amin Reshma
机构信息
Holland Bloorview Kids Rehabilitation Hospital, The University of Toronto, Toronto, ON M4G 1R8, Canada.
Division of Respiratory Medicine, The Hospital for Sick Children, The University of Toronto, Toronto, ON M5G 1X8, Canada.
出版信息
Children (Basel). 2017 May 19;4(5):41. doi: 10.3390/children4050041.
Children with medical complexity (CMC) are a growing population of diagnostically heterogeneous children characterized by chronic conditions affecting multiple organ systems, the use of medical technology at home as well as intensive healthcare service utilization. Many of these children will experience either a respiratory-related complication and/or they will become established on respiratory technology at home during their care trajectory. Therefore, healthcare providers need to be familiar with the respiratory related complications commonly experienced by CMC as well as the indications, technical and safety considerations and potential complications that may arise when caring for CMC using respiratory technology at home. This review will outline the most common respiratory disease manifestations experienced by CMC, and discuss various respiratory-related treatment options that can be considered, including tracheostomy, invasive and non-invasive ventilation, as well as airway clearance techniques. The caregiver requirements associated with caring for CMC using respiratory technology at home will also be reviewed.
患有复杂疾病的儿童（CMC）数量不断增加，这些儿童诊断结果各异，其特征为影响多个器官系统的慢性病、在家中使用医疗技术以及大量利用医疗保健服务。这些儿童中的许多人在其护理过程中会出现与呼吸相关的并发症，和/或在家中使用呼吸技术。因此，医疗保健提供者需要熟悉CMC常见的与呼吸相关的并发症，以及在家中使用呼吸技术护理CMC时可能出现的适应症、技术和安全考虑因素以及潜在并发症。本综述将概述CMC最常见的呼吸道疾病表现，并讨论可考虑的各种与呼吸相关的治疗选择，包括气管切开术、有创和无创通气以及气道清理技术。还将综述在家中使用呼吸技术护理CMC时护理人员的要求。
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