ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
指南与标准

成人体外膜肺氧合循环辅助护理专家共识

  • 北京市体外生命支持质量控制和改进中心/首都医科大学附属北京安贞医院心脏外科危重症中心
展开
  • 100029 北京市 体外生命支持质量控制和改进中心/首都医科大学附属北京安贞医院心脏外科危重症中心
张倩倩:女,本科,副主任护师,E-mail:969960137@qq.com
第一联系人:执笔:张倩倩 杜桂芳 张梦宇 冯建辉 刘林田 盛晓伟

收稿日期: 2024-08-08

  网络出版日期: 2025-01-14

基金资助

中华医学会杂志社2021-2022护理学科研究课题(CMAPH-NRD2021016)

Consensus on nursing care for adult extracorporeal membrane oxygenation circulatory assistance

  • Beijing Extracorporeal Life Support Quality Control and Improvement Center/Center for Cardiac Intensive Care of Beijing Anzhen Hospital Capital Medical University
Expand
First author contact:Writing Committee:ZHANG Qianqian,DU Guifang,ZHANG Mengyu,FENG Jianhui,LIU Lintian,SHENG Xiaowei

Received date: 2024-08-08

  Online published: 2025-01-14

摘要

目的 建立成人体外膜肺氧合循环辅助护理专家共识。方法 通过查询及分析国内外文献,结合相关领域专家访谈结果,列举具体护理问题并设计专家函询问卷,18名专家通过2轮德尔菲专家函询以及1次专家会议论证,对每个条目进行分析、调整、修改并完善。结果 对成人体外膜肺氧合循环辅助护理实践8个方面,共44个条目达成共识。结论 建立成人体外膜肺氧合循环辅助护理专家共识可以为护理实践提供一定的指导和参考意见。

本文引用格式

北京市体外生命支持质量控制和改进中心/首都医科大学附属北京安贞医院心脏外科危重症中心 . 成人体外膜肺氧合循环辅助护理专家共识[J]. 中华急危重症护理杂志, 2025 , 6(1) : 70 -75 . DOI: 10.3761/j.issn.2096-7446.2025.01.010

Abstract

Objective To formulate an expert consensus on the nursing of adult extracorporeal membrane oxygenation(ECMO) circulatory assistance. Methods Based on searching domestic and foreign literatures and combining the interview results of experts in relevant fields,specific nursing issues were listed and an expert questionnaire was designed. Through two rounds of Delphi expert consultations and expert demonstration meetings,each item was adjusted,modified,and improved. Results The experts reached a consensus on 44 items in 8 aspects. Conclusion The establishment of an expert consensus on the nursing of adult ECMO circulatory assistance can provide certain guidance and reference opinions for nursing practice.

参考文献

[1] 龙村. ECMO手册[M]. 北京: 人民卫生出版社,2007:256-271.
  Long C. ECMO manual[M]. Beijing: People’s Medical Publishing House,2007:256-271.
[2] 国家心血管病中心, 中国医学科学院护理理论与实践研究中心, 中华护理学会重症专业委员会, 等. 冠状动脉旁路移植术后置入主动脉内球囊反搏护理专家共识[J]. 中华护理杂志, 2017, 52(12):1432-1439.
  National Center for Cardiovascular Diseases, Nursing Theory and Practice Research Center of Chinese Academy of Medical Sciences, Critical Care Committee of Chinese Nursing Associa-tion, et al. Expert consensus on nursing care of patients undergoing intra-aortic balloon pump counterpulsation after coronary artery bypass grafting[J]. Chin J Nurs, 2017, 52(12):1432-1439.
[3] 中国心胸血管麻醉学会, 中华医学会麻醉学分会, 中国医师协会麻醉学医师分会, 等. 不同情况下成人体外膜肺氧合临床应用专家共识(2020版)[J]. 中国循环杂志, 2020, 35(11):1052-1063.
  Chinese Cardiothoracic and Vascular Anesthesiology Associa-tion, Anesthesiology Branch of Chinese Medical Association, Anesthesiologists Branch of Chinese Medical Doctor Associa-tion, et al. Expert consensus on the clinical application of adult extracorporeal membrane oxygenation under different conditions(2020 edition)[J]. Chin Circ J, 2020, 35(11):1052-1063.
[4] 龙村. 体外膜肺氧合循环支持专家共识[J]. 中国体外循环杂志, 2014, 12(2):65-67.
  Long C. Expert consensus on extracorporeal membrane oxyge-nation(ECMO) circulatory support[J]. Chin J Extracorpor Circ, 2014, 12(2):65-67.
[5] 何立芸, 牛杰. 成人体外膜肺氧合的应用及并发症[J]. 中国医学前沿杂志(电子版), 2019, 11(3):1-7.
  He LY, Niu J. Application and complications of extracorporeal membrane oxygenation in adults[J]. China J Fron Med Sci(Ele-ctronic Version), 2019, 11(3):1-7.
[6] 中国心脏重症镇静镇痛专家委员会. 中国心脏重症镇静镇痛专家共识[J]. 中华医学杂志, 2017, 97(10):726-734.
  Chinese Expert Committee on Sedation and Analgesia for Cardiac Critical Care. Chinese expert consensus on sedation and analgesia for cardiac critical care[J]. Natl Med J China, 2017, 97(10):726-734.
[7] Dresen E, Naidoo O, Hill A, et al. Medical nutrition therapy in patients receiving ECMO:Evidence-based guidance for clinical practice[J]. JPEN J Parenter Enteral Nutr, 2023, 47(2):220-235.
[8] 贾丽娟, 杜中涛, 刘亚洲, 等. 泵控逆流试验在成人静脉-动脉体外膜氧合撤机过程中的应用[J]. 中华医学杂志, 2020, 100(20):1544-1550.
  Jia LJ, Du ZT, Liu YZ, et al. Application of pump-controlled retrograde trial off in weaning from veno-arterial extracorporeal membrane oxygenation in adult patients[J]. Natl Med J China, 2020, 100(20):1544-1550.
[9] Kagawa E. Extracorporeal cardiopulmonary resuscitation for adult cardiac arrest patients[J]. World J Crit Care Med, 2012, 1(2):46-49.
[10] 中国老年医学学会急诊医学分会, 中国老年医学学会急诊医学分会ECMO工作委员会. 成人体外膜肺氧合辅助心肺复苏(ECPR)实践路径[J]. 中华急诊医学杂志, 2019, 28(10):1197-1203.
  Emergency Medicine Branch of the Chinese Geriatrics Socie-ty,ECMO Working Committee of Emergency Medicine Branch of Chinese Geriatrics Society. Practice pathway for adult extracorporeal cardiopulmonary resuscitation(ECPR)[J]. Chin J Emerg Med, 2019, 28(10):1197-1203.
[11] 心脏骤停后目标温度管理共识专家组. 心脏骤停后目标温度管理专家共识[J]. 中华急诊医学杂志, 2016, 25(8):1000-1006.
  Consensus Expert Group on Target Temperature Management after Cardiac Arrest. Expert consensus on targeted temperature management after cardiac arrest[J]. Chin J Emerg Med, 2016, 25(8):1000-1006.
文章导航

/