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十种基本新生儿操作的适应症、测量方法及并发症

Indications, Measurements, and Complications of Ten Essential Neonatal Procedures.

作者信息

Zubi Zainab Bubakr Hamad, Abdullah Ahmad Fadzil Bin, Helmi Muhd Alwi Bin Muhd, Hasan Taufiq Hidayat, Ramli Noraida, Ali Adam Al-Anas Bin Mat, Mohamed Mossad Abdelhak Shaban

机构信息

Department of Paediatrics, Sultan Ahmad Shah Medical Centre, International Islamic University Malaysia, 25200 Kuantan, Pahang, Malaysia.

Department of Paediatrics, Kulliyyah of Medicine, International Islamic University Malaysia, 25200 Kuantan, Pahang, Malaysia.

出版信息

Int J Pediatr. 2023 Sep 5;2023:3241607. doi: 10.1155/2023/3241607. eCollection 2023.

Abstract

About 10% of newborns require some degree of assistance to begin their breathing, and 1% necessitates extensive resuscitation. Sick neonates are exposed to a number of invasive life-saving procedures as part of their management, either for investigation or for treatment. In order to support the neonates with the maximum possible benefits and reduce iatrogenic morbidity, health-care providers performing these procedures must be familiar with their indications, measurements, and potential complications. Hence, the aim of this review is to summarise ten of the main neonatal intensive care procedures with highlighting of their indications, measurements, and complications. They include the umbilical venous and arterial catheterizations and the intraosseous line which represent the principal postnatal emergency vascular accesses; the peripherally inserted central catheter for long-term venous access; the endotracheal tube and laryngeal mask airway for airway control and ventilation; chest tube for drainage of air and fluid from the thorax; and the nasogastric/orogastric tube for enteral feeding. Furthermore, lumber puncture and heel stick were included in this review as very important and frequently performed diagnostic procedures in the neonatal intensive care unit.

摘要

约10%的新生儿开始呼吸时需要一定程度的辅助,1%的新生儿需要进行广泛的复苏。患病新生儿在其治疗过程中会接受一些侵入性的救生程序,用于检查或治疗。为了给新生儿带来最大可能的益处并降低医源性发病率,实施这些程序的医护人员必须熟悉其适应证、操作步骤及潜在并发症。因此,本综述的目的是总结十种主要的新生儿重症监护程序,并突出其适应证、操作步骤及并发症。它们包括脐静脉和动脉插管以及骨内输液,这是出生后主要的紧急血管通路;经外周静脉穿刺中心静脉置管用于长期静脉通路;气管内导管和喉罩气道用于气道控制和通气;胸腔引流管用于排出胸腔内的气体和液体;鼻胃管/口胃管用于肠内喂养。此外,腰椎穿刺和足跟采血作为新生儿重症监护病房非常重要且经常进行的诊断程序也被纳入本综述。

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