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AARC临床实践指南：急性护理环境中小儿气管切开术患者的管理

2021-02-01 美国呼吸治疗学会 Respir Care . 2021 Jan;66(1):144-155

气管切开术

需要气管切开术以维持呼吸道通畅或促进长期机械通气支持的儿童需要全面护理，并需要专心，训练有素的直接护理人员来安全地管理其复杂的需求。这些指南是根据对文献的全面回顾而制定的，可为选择气管造口管的类型（袖

中文标题：

AARC临床实践指南：急性护理环境中小儿气管切开术患者的管理

英文标题：

AARC Clinical Practice Guideline: Management of Pediatric Patients With Tracheostomy in the Acute Care Setting

发布机构：

美国呼吸治疗学会

发布日期：

2021-02-01

简要介绍：

需要气管切开术以维持呼吸道通畅或促进长期机械通气支持的儿童需要全面护理，并需要专心，训练有素的直接护理人员来安全地管理其复杂的需求。这些指南是根据对文献的全面回顾而制定的，可为选择气管造口管的类型（袖带式与非袖带式），使用通讯设备，实施日常护理包，首次气管造口术变更的时间，使用的加湿类型提供指导（主动vs被动），定时喂食，协调护理和常规清洁。袖带式气管造口术管只能用于正压通气或防止误吸。袖带管理和气管造口管卫生应遵循制造商指南。日常护理包，皮肤护理和吸湿排汗材料的使用减少了设备相关的并发症。气管切开插管可以在术后第3天安全地更换，应该定期（至少每1-2周一次）并根据需要（例如在管腔内发生阻塞时）定期更换。护理协调可以缩短住院时间和重症监护病房的住院时间。公开的证据不足以支持针对特定设备加湿所吸入气体的建议，使用通讯设备或开始加料的时间。

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    2022-05-18 lemo003

    👍

    0

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    2021-09-18 学者

    厉害

    0

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    2021-05-10 学者

    想要了解

    0

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    2021-04-18 1664419569

    这是非常有指导意义的指南

    0

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