eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2024, Vol. 5 ›› Issue (4): 305-311.doi: 10.3761/j.issn.2096-7446.2024.04.003

• Special Planning-Critical Pediatric Care • Previous Articles     Next Articles

Application of standardized transport process management in pediatric extracorporeal membrane oxygenation rapid response team

HUANG Yali, CAI Shuhong, WANG Xielei, ZHENG Yirong   

  • Received:2023-06-28 Online:2024-04-10 Published:2024-04-15

Abstract: Objective A standardized transport process management for pediatric extracorporeal membrane oxygenation(ECMO)-rapid response team(RRT) was constructed and applied,and its application effect was analyzed. Methods ECMO-RRT standardized transport process management was constructed through literature search,expert consultation. We continuously selected 19 patients who applied ECMO treatment in a children hospital in Fujian Province from July 2021 to December 2022 as the study subjects,including 11 cases admitted in January to December 2022 as the experimental group,and 8 cases admitted from July 2021 to December 2021 as the control group. The experimental group was implemented by a ECMO-RRT standardized transport process management,and the control group was implemented by a routine ECMO treatment process. The differences in team preparation time,time of catherterization,first aid technique,professional knowledge,rescue order,cooperative rescue speed and emergency initiative,rescue comprehensive satisfaction,the occurrence of neurological complications and the number of deaths during hospitali were compared between two groups. Results Compared with the control group,the team preparation time(33.10±6.06) minutes,the time of catherterization(47.45±6.73) minutes were significantly shortened,and comprehensive satisfaction in the experimental group increased significantly. The differences were statistically significant(P<0.001). There were 2 cases of neurological complications in each of the two groups,and 2 cases in the experimental group died during hospitalization. Conclusion The application of the ECMO-RRT standardized transport process management for pediatric ECMO patients can shorten the time of initiation of ECMO treatment and improve the overall satisfaction of team members and has a positive effect on the treatment of critically ill pediatric patients.

Key words: Standard of Care, Process Management, Hospital Rapid Response Team, Extracorporeal Membrane Oxygenation, Critical Care Nursing