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印度一家三级护理教学医院在疫情高峰期新冠重症监护病房的十项实践变革:适应与改进

Ten Practice Changes in COVID-19 Intensive Care Unit of a Tertiary Care Teaching Hospital in India during the Peak of Pandemic: Adapt and Improve.

作者信息

Soni Lipika, Pangasa Neha, Baidya Dalim K, Subramaniam Rajeshwari

机构信息

Department of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India.

出版信息

Indian J Crit Care Med. 2022 Jun;26(6):710-711. doi: 10.5005/jp-journals-10071-24227.

Abstract

UNLABELLED

During the peak of the coronavirus disease-2019 (COVID-19) pandemic, 10 practice-changing decisions were adopted which led to an improved standard of clinical care in the face of overwhelming burden to the healthcare setup. Formation of a control unit with the piggyback team, briefing before donning, replacement of personal protective equipment (PPE) with impermeable surgical gowns, a dedicated prone team and the prone bundle of care, weaning-extubation and tracheostomy protocol, online audiovisual family-patient meet, daily rounds by hospital infection control committee member, each one clean one policy, focused onsite training of healthcare support staff and discharge policy with post-discharge follow-up were the 10 important changes adopted.

HOW TO CITE THIS ARTICLE

Soni L, Pangasa N, Baidya DK, Subramaniam R. Ten Practice Changes in COVID-19 Intensive Care Unit of a Tertiary Care Teaching Hospital in India during the Peak of Pandemic: Adapt and Improve. Indian J Crit Care Med 2022;26(6):710-711.

摘要

未标注

在2019年冠状病毒病(COVID-19)大流行高峰期,采取了10项改变医疗实践的决策,这些决策在医疗系统面临巨大负担的情况下提高了临床护理标准。组建了由支援团队组成的控制单元,穿防护服前进行简报,用不透水手术衣替代个人防护装备(PPE),成立专门的俯卧位团队并实施俯卧位护理套餐,制定撤机-拔管及气管切开方案,开展在线视听家庭-患者会面,医院感染控制委员会成员每日查房,“一人一清洁”政策,对医疗辅助人员进行现场集中培训以及制定出院后随访的出院政策,这些就是所采取的10项重要改变。

如何引用本文

索尼L、潘加萨N、拜迪亚DK、苏布拉马尼亚姆R。印度一家三级护理教学医院在大流行高峰期COVID-19重症监护病房的10项医疗实践改变:适应与改进。《印度重症监护医学杂志》2022年;26(6):710 - 711。

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本文引用的文献

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Development of an institutional protocol for percutaneous dilatational tracheostomy in critically ill COVID-19 patients: Initial experience.
J Anaesthesiol Clin Pharmacol. 2022 Jul;38(Suppl 1):S102-S106. doi: 10.4103/joacp.joacp_495_21. Epub 2022 Jun 15.
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Indian J Crit Care Med. 2021 Mar;25(3):349-350. doi: 10.5005/jp-journals-10071-23754.
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Prolonged prone position ventilation for SARS-CoV-2 patients is feasible and effective.
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