收稿日期: 2024-07-24
网络出版日期: 2025-07-04
Nursing of prone position ventilation under extracorporeal membrane oxygenation in a premature infant with acute respiratory distress syndrome
周惠云 , 罗飞翔 , 慎斐 . 急性呼吸窘迫综合征早产儿体外膜肺氧合下行俯卧位通气的护理[J]. 中华急危重症护理杂志, 2025 , 6(7) : 826 -829 . DOI: 10.3761/j.issn.2096-7446.2025.07.009
The article summarized the nursing experience of prone position ventilation under extracorporeal membrane oxygenation(ECMO) in a premature infant with acute respiratory distress syndrome. Nursing key points included establishing the multidisciplinary team to assess the timing of ECMO,development and implementation of individualized prone position ventilation,standardized management of various pipelines to prevent slippage,close observation of vital signs to ensure hemodynamic stability,bleeding and anticoagulation management,refined skin management,prevention of pressure injury and etc. After careful treatment and care,the patient successfully withdrew from ECMO,improved respiratory morphology,and the effect of prone ventilation was significant. After 78 days of hospitalization,the patient was discharged smoothly and in good condition during follow-up.
[1] | Definition Task Force ARDS, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome:the Berlin Definition[J]. JAMA, 2012, 307(23):2526-2533. |
[2] | 中国医师协会新生儿科医师分会, 封志纯, 洪小杨, 等. 新生儿呼吸衰竭体外膜肺氧合支持专家共识[J]. 发育医学电子杂志, 2018, 6(3):129-133. |
Neonatologist Branch of Chinese Medical Doctor Association,Feng ZC, Hong XY, et al. Expert consensus on extracorporeal membrane oxygenation(ECMO) support for neonatal respiratory failure[J]. J Dev Med Electron Version, 2018, 6(3):129-133. | |
[3] | Guérin C, Reignier J, Richard JC, et al. Prone positioning in severe acute respiratory distress syndrome[J]. N Engl J Med, 2013, 368(23):2159-2168. |
[4] | Levy B, Taccone FS, Guarracino F. Recent developments in the management of persistent hypoxemia under veno-venous ECMO[J]. Intensive Care Med, 2015, 41(3):508-510. |
[5] | 中华医学会儿科学分会急救学组, 中华医学会急诊医学分会儿科学组, 中华儿科杂志编辑委员会. 中国儿童重症监护病房镇痛和镇静治疗专家共识(2024)[J]. 中华儿科杂志, 2024, 62(3):196-203. |
Emergency Medicine Group of Pediatrics Branch of Chinese Medical Association, Pediatrics Group of Emergency Medicine Branch of Chinese Medical Association, Editorial Board of Chinese Journal of Pediatrics. Expert consensus on analgesia and sedation in pediatric intensive care units in China(2024)[J]. Chin J Pediatr, 2024, 62(3):196-203. | |
[6] | 中华医学会重症医学分会重症呼吸学组. 急性呼吸窘迫综合征患者俯卧位通气治疗规范化流程[J]. 中华内科杂志, 2020, 59(10):781-787. |
Intensive Care Respiratory Group of Intensive Care Medicine Branch of Chinese Medical Association. Standardized process of prone ventilation therapy for patients with acute respiratory distress syndrome[J]. Chin J Intern Med, 2020, 59(10):781-787. | |
[7] | 林楠, 诸纪华, 徐红贞, 等. 早产儿体位管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(4):486-492. |
Lin N, Zhu JH, Xu HZ, et al. Best evidence summary of posi-tioning management for preterm infants[J]. Chin J Nurs, 2022, 57(4):486-492. | |
[8] | 符跃强, 许峰. 俯卧位通气在儿童急性呼吸窘迫综合征的应用及注意事项[J]. 中国小儿急救医学, 2022, 29(7):481-485. |
Fu YQ, Xu F. Application and precautions of prone position ventilation in pediatric acute respiratory distress syndrome[J]. Chin Pediatr Emerg Med, 2022, 29(7):481-485. | |
[9] | 岳伟岗, 张莹, 蒋由飞, 等. 俯卧位通气治疗急性呼吸窘迫综合征患者临床不良事件的Meta分析[J]. 解放军护理杂志, 2018, 35(20):36-41,73. |
Yue WG, Zhang Y, Jiang YF, et al. Clinical adverse events of prone position in ventilated patients with acute respiratory distress syndrome:a meta-analysis[J]. Nurs J Chin PLA, 2018, 35(20):36-41,73. | |
[10] | 杨保旺, 洪小杨, 封志纯. 儿童体外膜肺氧合抗凝研究进展[J]. 中国小儿急救医学, 2021, 28(3):215-219. |
Yang BW, Hong XY, Feng ZC. The research progress of anticoagulation of extracorporeal memebrane oxygenation in children[J]. Chin Pediatr Emerg Med, 2021, 28(3):215-219. |
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