Stehling Florian, Wendt Anke, Berger Michael, Kerzel Sebastian, Vlajnic Dejan, Fuchs Hans, Gunst Lennart
Pediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, University Hospital Essen, Essen, Germany.
Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charite University Hospital Berlin, Berlin, Germany.
Klin Padiatr. 2024 Feb;236(2):57-63. doi: 10.1055/a-2235-7805. Epub 2024 Jan 29.
In pediatrics chronic respiratory insufficiency is increasingly treated on an outpatient basis with home mechanical ventilation. Nursing and medical teams with different structures take care of the often complex ill children in the outpatient setting. Structured treatment processes, especially emergency plans for the management of respiratory emergencies of home mechanical ventilated children are lacking. This article is a proposal for emergency management of respiratory infections, emergencies of non-invasively ventilated and invasively ventilated, tracheotomized children. In addition to resuscitation measures according to ERC/AHA, the focus is primarily on secretion management, as well as on the handling of ventilators and devices.
在儿科,慢性呼吸功能不全越来越多地在门诊进行家庭机械通气治疗。不同结构的护理和医疗团队在门诊环境中照顾这些病情往往复杂的患病儿童。目前缺乏结构化的治疗流程,尤其是针对家庭机械通气儿童呼吸紧急情况的管理预案。本文提出了针对呼吸道感染、无创通气和有创通气、气管切开儿童的紧急情况的管理建议。除了根据ERC/AHA进行复苏措施外,重点主要在于分泌物管理以及呼吸机和设备的操作。