Department of Quality and Data Integration, The Centers, Cleveland, Ohio.
Respir Care. 2022 Jun;67(6):756-768. doi: 10.4187/respcare.10017.
During invasive ventilatory support, infants and children are inherently at risk for developing injury or complications related to the insertion and maintenance of an endotracheal tube (ETT). It is essential for respiratory therapists to understand the factors that contribute to the propensity for harm while preparing for, inserting, securing, and maintaining the position of an ETT throughout the duration of use. Implementing care bundles based on the available literature is useful in reducing iatrogenic complications as well as the risk for morbidity and mortality of pediatric patients requiring an ETT to facilitate respiratory support.
在有创通气支持过程中，婴儿和儿童由于插入和维持气管内导管（ETT）而固有地面临损伤或并发症的风险。呼吸治疗师必须了解在准备、插入、固定和维持 ETT 位置的整个使用过程中导致伤害的倾向的因素。根据现有文献实施护理包是有用的，可以减少医源性并发症以及需要 ETT 来促进呼吸支持的儿科患者的发病率和死亡率的风险。
