Sward Katherine A, Newth Christopher J L
Department of Biomedical Informatics, College of Nursing, University of Utah, Salt Lake City, Utah, United States.
Department of Anesthesiology and Critical Care Medicine, Children's Hospital Los Angeles and Keck School of Medicine, University of Southern California, United States.
J Pediatr Intensive Care. 2016 Sep;5(3):95-100. doi: 10.1055/s-0035-1568161. Epub 2015 Nov 18.
Mechanical ventilation is an effective treatment in the ICU but can have significant adverse effects. Approaches from adult research have been adopted in pediatric critical care despite known differences in respiratory physiology and ICU processes. There continues to be considerable variation in how ventilators are managed. Computerized decision support systems implement explicit protocols, and are designed to make mechanical ventilation management safer, more consistent, and more lung protective. Variable results and low or unknown compliance with protocols and CDSS tools have been reported. To date, there has been limited research regarding CDSS for mechanical ventilation in children.
机械通气是重症监护病房（ICU）中的一种有效治疗方法，但可能会产生重大不良反应。尽管已知儿童与成人在呼吸生理学和ICU流程方面存在差异，但儿科重症监护中仍采用了来自成人研究的方法。呼吸机的管理方式仍然存在很大差异。计算机化决策支持系统实施明确的方案，旨在使机械通气管理更安全、更一致且更具肺保护性。据报道，方案和CDSS工具的结果参差不齐，依从性较低或未知。迄今为止，关于儿童机械通气的CDSS研究有限。
