俯卧位通气在新冠疫情中的应用：挑战与解决方案。
Proning during covid-19: Challenges and solutions.
机构信息
UCSD Pulmonary Critical Care Sleep Medicine and Physiology, 9500 Gilman Drive, La Jolla CA 92037.
UCSD Pulmonary Critical Care Sleep Medicine and Physiology, 9500 Gilman Drive, La Jolla CA 92037.
出版信息
Heart Lung. 2020 Nov-Dec;49(6):686-687. doi: 10.1016/j.hrtlng.2020.08.006. Epub 2020 Aug 19.
Abstract
Despite proven benefits to prone positioning in ARDS, a disconnect exists regarding the impressions of its utility among members of the healthcare team. While the majority of physicians view prone positioning as beneficial in ARDS, recent data suggest that the minority of ICU nurses have the same impression. The COVID pandemic has raised particularly challenges in terms of availability of personnel and supplies at least in some institutions. We discuss various barriers to implementation of prone positioning and suggest a number of strategies to optimize patient care. We use a multidisciplinary team approach to execute prone positioning in COVID ARDS.
摘要
尽管俯卧位通气对急性呼吸窘迫综合征（ARDS）有明确的益处，但医护人员对其实际应用效果的看法却存在脱节。尽管大多数医生认为俯卧位通气对 ARDS 有益，但最近的数据表明，少数 ICU 护士对此并不认同。COVID-19 大流行至少在某些机构造成了人员和物资供应方面的特别挑战。我们讨论了实施俯卧位通气的各种障碍，并提出了一些优化患者护理的策略。我们采用多学科团队的方法，对 COVID-19 所致 ARDS 患者实施俯卧位通气。
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