儿童体外膜肺氧合支持治疗的护理专家共识

doi:10.3761/j.issn.2096-7446.2023.03.007

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (3): 232-238.doi: 10.3761/j.issn.2096-7446.2023.03.007

儿童体外膜肺氧合支持治疗的护理专家共识

浙江大学医学院附属儿童医院护理部首都医科大学附属儿童医院儿科重症监护病房上海复旦大学附属儿科医院护理部上海交通大学附属上海儿童医学中心儿科重症监护病房重庆医科大学附属儿童医院儿科重症监护病房国家医学中心儿科护理联盟（执笔：诸纪华, 曲斌, 胡静, 张悦玥, 刘鹏, 丁亚萍）

310052 杭州市浙江大学医学院附属儿童医院护理部（诸纪华,丁亚萍）; 首都医科大学附属儿童医院儿科重症监护病房（曲斌）; 上海复旦大学附属儿科医院护理部（胡静）; 上海交通大学附属上海儿童医学中心儿科重症监护病房（张悦玥）; 重庆医科大学附属儿童医院儿科重症监护病房（刘鹏）

收稿日期:2022-10-02 出版日期:2023-03-10 发布日期:2023-03-07
作者简介:诸纪华：女,本科,主任护师,护理部主任,E-mail：jihuazhu@zju.edu.cn

Nursing expert consensus on extracorporeal membrane oxygen support therapy for children

Nursing Department of Children's Hospital of Zhejiang University School of Medicine;PICU, Children's Hospital of Capital Medical University;Nursing Department of Children's Hospital of Fudan University;PICU, Shanghai Children's Medical Center of Shanghai Jiao Tong University;PICU, Affiliated Children's Hospital of Chongqing Medical University;National Medical Center Pediatric Nursing Alliance（Writing committee：ZHU Jihua, QU Bin, HU Jing, ZHANG Yueyue, LIU Peng, DING Yaping）

Received:2022-10-02 Online:2023-03-10 Published:2023-03-07

摘要/Abstract

摘要： 目的形成儿童体外膜肺氧合支持治疗的护理专家共识（以下简称《共识》）,规范体外膜肺氧合支持治疗期间的患儿护理。方法在系统检索国内外文献的基础上,结合利益相关人群访谈结果,列出具体问题并设计专家函询表,邀请北京市、上海市、重庆市和浙江省15名相关领域专家,进行2轮德尔菲专家函询和1轮专家论证会议,对各个条目进行调整、修改和完善。结果《共识》包括ECMO建立前准备工作、ECMO支持模式选择、参数设定及系统监测、循环管理、呼吸管理、药物管理、营养管理、并发症管理、转运管理与出院随访管理10个方面。结论该《共识》具有科学性和实用性,为儿童体外膜肺支持治疗的护理实践提供指导依据。

关键词: 儿童, 体外膜肺氧合, 临床实践, 危重病护理, 专家共识

Abstract: Objective To form a consensus of nursing experts on extracorporeal membrane oxygen support therapy for children （hereafter referred to as the “consensus”）,regulating the care of children during the period of extracorporeal membrane oxygen support therapy. Methods Based on the systematic search of domestic and foreign literature,combined with the results of interviews with stakeholders,specific problems were listed and the expert letter consultation form was designed. 15 experts in the relevant fields from Beijing,Shanghai,Chongqing and Zhejiang were invited to conduct two rounds of Delphi expert letter consultation and one round of expert demonstration meeting,so as to adjust,modify and improve each item. Results The consensus included 10 aspects as following:ECMO preparation before establishment,selection of ECMO support mode,parameter setting and system monitoring,circulation management,respiratory management,drug management,nutrition management,complication management,transport management and discharge follow-up management. Conclusion This consensus is scientific and practical,and provides guidance for the nursing practice of ECMO support therapy in children.

Key words: Child, Extracorporeal Membrane Oxygenation, Clinical Practice, Critical Care Nursing, Expert Consensus

浙江大学医学院附属儿童医院护理部首都医科大学附属儿童医院儿科重症监护病房上海复旦大学附属儿科医院护理部上海交通大学附属上海儿童医学中心儿科重症监护病房重庆医科大学附属儿童医院儿科重症监护病房国家医学中心儿科护理联盟（执笔：诸纪华, 曲斌, 胡静, 张悦玥, 刘鹏, 丁亚萍）. 儿童体外膜肺氧合支持治疗的护理专家共识[J]. 中华急危重症护理杂志, 2023, 4(3): 232-238.

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儿童体外膜肺氧合支持治疗的护理专家共识

Nursing expert consensus on extracorporeal membrane oxygen support therapy for children

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