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成人静脉-静脉体外膜肺氧合患者的住院物理治疗——英国体外膜肺氧合物理治疗网络:最佳实践共识协议

In-patient physiotherapy for adults on veno-venous extracorporeal membrane oxygenation - United Kingdom ECMO Physiotherapy Network: A consensus agreement for best practice.

作者信息

Eden Allaina, Purkiss Claire, Cork Gabriella, Baddeley Adam, Morris Kelly, Carey Leah, Brown Mike, McGarrigle Laura, Kennedy Samantha

机构信息

Papworth Hospital NHS Foundation Trust, Cambridge, UK.

Royal Brompton and Harefield NHS Foundation Trust, London, UK.

出版信息

J Intensive Care Soc. 2017 Aug;18(3):212-220. doi: 10.1177/1751143717705801. Epub 2017 Jun 14.

Abstract

Clinical specialist physiotherapists from the five severe respiratory failure centres in England where respiratory extracorporeal membrane oxygenation (ECMO) is practiced have established this consensus agreement for physiotherapy best practice. The severe respiratory failure centres are Wythenshawe Hospital, Manchester; Glenfield Hospital, Leicester; Papworth Hospital, Cambridge; Guy's and St Thomas' Hospital, London and The Royal Brompton Hospital, London. Although research into physiotherapy and ECMO is increasing, there is not a sufficient amount to write evidence-based guidelines; hence the development of a consensus document, using knowledge and experience of the specialist physiotherapists working with patients receiving ECMO. The document outlines safety aspects, practicalities and additional treatment considerations for physiotherapists conducting respiratory care and physical rehabilitation.

摘要

来自英国五个开展体外膜肺氧合(ECMO)治疗严重呼吸衰竭中心的临床专科物理治疗师,就物理治疗的最佳实践达成了这一共识协议。这五个严重呼吸衰竭中心分别是曼彻斯特的怀廷沙韦医院、莱斯特的格伦菲尔德医院、剑桥的帕普沃思医院、伦敦的盖伊和圣托马斯医院以及伦敦的皇家布朗普顿医院。尽管关于物理治疗和ECMO的研究在不断增加,但仍不足以撰写基于证据的指南;因此,利用为接受ECMO治疗的患者提供服务的专科物理治疗师的知识和经验,制定了这份共识文件。该文件概述了进行呼吸护理和身体康复的物理治疗师在安全方面、实际操作以及其他治疗考虑因素。

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