Health Directorate Unit, Veneto Institute of Oncology IOV- IRCCS, 64 Via Gattamelata, Padova 35128, Italy; Department of Cardiac Thoracic Vascular Sciences and Public Health, Unit of Biostatistics, Epidemiology and Public Health, University of Padova, Padova, Italy.
Department of Cardiac Thoracic Vascular Sciences and Public Health, Unit of Biostatistics, Epidemiology and Public Health, University of Padova, Padova, Italy.
J Crit Care. 2021 Feb;61:119-124. doi: 10.1016/j.jcrc.2020.10.014. Epub 2020 Oct 27.
The management of COVID-19 patients in the ICUs requires several and prolonged life-support systems (mechanical ventilation, continuous infusions of medications and nutrition, renal replacement therapy). Parameters have to be entered continuously into the device user interface by healthcare personnel according to the dynamic clinical condition. This leads to an increased risk of cross-contamination, use of personal protective equipment and the need for stringent and demanding protocols. Cables and tubing extensions have been utilized to make certain devices usable outside the patient's room but at the cost of introducing further hazards. Remote control of these devices decreases the frequency of unnecessary interventions and reduces the risk of exposure for both patients and healthcare personnel.
在 ICU 中对 COVID-19 患者的管理需要多种且长时间的生命支持系统(机械通气、持续输注药物和营养、肾脏替代治疗)。医护人员必须根据动态临床情况不断将参数输入设备用户界面。这会增加交叉污染的风险、对个人防护设备的使用以及对严格和苛刻的协议的需求。已经使用了电缆和管延长线来使某些设备可在患者房间外使用,但这也带来了更多的危险。对这些设备进行远程控制可以减少不必要的干预次数,并降低患者和医护人员暴露的风险。