Leiva-Miranda V, Arriagada-Tirado B, San Martín-Díaz J C, Carmona-Schonffeldt L, Fuentes-Trujillo B, La Rosa-Araya G, Fau-Fuentes C, Nasabun-Flores V
División de Sanidad, Fuerza Aérea de Chile, Santiago, Chile.
Unidad de Cuidados Intensivos, Hospital Clínico Fuerza Aérea de Chile Gral. Dr. Raúl Yazigi J., Santiago, Chile.
Enferm Intensiva. 2023 Jan-Mar;34(1):27-42. doi: 10.1016/j.enfi.2021.11.002. Epub 2022 Feb 11.
Aeromedical evacuation missions to transport highly infectious critical COVID-19 patients involve multiple factors, therefore planning is essential in their preparation. The management of specialist nurses is cross-cutting, as they participate in the planning, organisation and implementation of aero-evacuation protocols, delivery of care and operational safety procedures throughout the operation, with an integrated aeromedical crew working as a team alongside the air crew.
To study the management of nurses specialised in the aero-evacuation of highly infectious critical patients during the COVID-19 pandemic.
Through a systematic search of the biomedical literature, this study was conducted according to the standards of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. The literature search included articles published from 2019 to August 2020 and meta-search engines, yielding a total of 142 articles, and a triangulation of information was performed. A total of 11 articles were eventually included in the review, and the validity of each article was determined according to the guidelines of the Joanna Briggs Institute level of evidence.
The systematic review identified 11 studies that use different methodological considerations for conducting an aeromedical evacuation and covering key aspects for a successful operation.
The management of specialist nurses has a direct impact on the aeromedical evacuation of the critical patient. It covers planning, organisation, and operational safety, applied in the instruction, training, execution and strict monitoring of the work of the aeromedical crew as a solid team. This contributes to the success of the aero-evacuation mission and the infectious patient's high likelihood of survival during the COVID-19 pandemic.
运送高度传染性的新冠肺炎重症患者的空中医疗后送任务涉及多个因素，因此在任务准备过程中进行规划至关重要。专科护士的管理贯穿始终，因为她们参与空中后送方案的规划、组织和实施，在整个行动过程中提供护理并执行操作安全程序，与空中医疗机组人员作为一个团队协同工作。
研究在新冠肺炎疫情期间，负责高度传染性重症患者空中后送的专科护士的管理情况。
通过系统检索生物医学文献，本研究按照《Cochrane干预性系统评价手册》和PRISMA的标准进行。文献检索包括2019年至2020年8月发表的文章以及元搜索引擎，共检索到142篇文章，并进行了信息三角互证。最终共有11篇文章纳入综述，并根据乔安娜·布里格斯循证研究所的证据水平指南确定每篇文章的有效性。
系统综述确定了11项研究，这些研究在进行空中医疗后送时采用了不同的方法考量，并涵盖了成功实施行动的关键方面。
专科护士的管理对重症患者的空中医疗后送有直接影响。它涵盖规划、组织和操作安全，应用于对作为一个坚实团队的空中医疗机组人员的指导、培训、执行和严格监督工作中。这有助于空中后送任务的成功以及在新冠肺炎疫情期间感染患者的高生存可能性。
