新生儿体外膜肺氧合下采用静脉留置针行胸腔闭式引流的护理

doi:10.3761/j.issn.2096-7446.2023.07.004

Abstract

Abstract: To summarize the experience of a newborn with closed thoracic drainage by intravenous indwelling catheter during the support of extracorporeal membrane oxygenation（ECMO）. Aimed at the nursing of closed thoracic drainage during ECMO support for the newborn with meconium aspiration syndrome（MAS）,individualized nursing measures in the whole process were adopted,including nursing of closed thoracic drainage by intravenous indwelling catheter,response of bleeding event,airway care,infection prevention and control,pain intervention,combination of lung protection and prone position ventilation. After careful treatment and nursing,the patient was discharged steadily,and the follow-up of the patient was in good condition after discharge.

Key words: Extracorporeal Membrane Oxygenation, Neonatal Nursing, Thoracentesis, Drainage, Critical Care Nursing

WANG Yuan, ZHOU Hong, FU Jie, DING Liwen, JU Rong, WU Nana, CHEN Xia. Nursing of a newborn with closed thoracic drainage by intravenous indwelling catheter under the support of extracorporeal membrane oxygenation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(7): 600-603.

References

[1] 刘莉,唐军. 新生儿胎粪吸入综合征的防治研究现状[J]. 中华妇幼临床医学杂志(电子版),2020,16(3):249-256.
Liu L,Tang J.Current status of prevention and treatment of neonatal meconium aspiration syndrome[J]. Chin J Obstet Gynecol Pediatr(Electron Ed),2020,16(3):249-256.
[2] Monfredini C,Cavallin F,Villani PE,et al.Meconium aspiration syndrome:a narrative review[J]. Children(Basel),2021,8(3):230.
[3] Edwards EM,Lakshminrusimha S,Ehret DEY,et al.NICU admissions for meconium aspiration syndrome before and after a national resuscitation program suctioning guideline change[J]. Children(Basel),2019,6(5):68.
[4] 王玥珏,胡晓静,李丽玲,等. 体外膜肺氧合联合血液透析救治呼吸衰竭新生儿的护理[J]. 护理学杂志,2018,33(22):21-25.
Wang YJ,Hu XJ,Li LL,et al.Nursing care of newborns with respiratory failure treated with extracorporeal membrane oxygenation and hemodialysis[J]. J Nurs Sci,2018,33(22):21-25.
[5] Basheer F,Aatif M,Saeed MHB,et al. Clinical profile and outcome of neonatal pneumothorax in resource-limited neonatal intensive care unit[J]. J Matern Fetal Neonatal Med,2022,35(17):3373-3378.
[6] 文雯,童丽灵,吴丹. 无针输液接头两种消毒方式的效果比较[J]. 中国当代医药,2021,28(19):235-237.
Wen W,Tong LL,Wu D.Comparison of two disinfection methods of needleless infusion connector[J]. China Mod Med,2021,28(19):235-237.
[7] 郑蔚,张丽. ECMO应用及管理[M]. 郑州:河南科学技术出版社,2017:124-125.
Zheng W,Zhang L.ECMO application and management[M]. Zhengzhou:Henan Science and Technology Press,2017:124-125.
[8] 孔丹,徐李琴,王欣,等. 新生儿脓气胸的精细化护理体会[J]. 广西医学,2019,41(5):653-655.
Kong D,Xu LQ,Wang X,et al.Experience of refine nursing for neonatal pneumothorax[J]. Guangxi Med J,2019,41(5):653-655.
[9] 傅益永,悦光,巨容,等. 体外生命支持组织:新生儿呼吸衰竭指南[J]. 发育医学电子杂志,2021,9(3):161-168.
Fu YY,Yue G,Ju R,et al.Extracorporeal Life Support Organization:guidelines for respiratory failure in newborns[J]. J Dev Med Electron Version,2021,9(3):161-168.
[10] 罗晓琴. 三种辅助排痰法在机械通气低出生体重儿气道护理中的应用效果比较[D]. 衡阳:南华大学,2020.
Luo XQ.Efficacy comparison of three assisted expectoration methods in the airway care of newborn patients with mechanical ventilation and low birth weight[D]. Hengyang:University of South China,2020.
[11] 程锐,杨洋,史源,等. 新生儿疼痛评估与镇痛管理专家共识(2020版)[J]. 中国当代儿科杂志,2020,22(9):923-930.
Cheng R,Yang Y,Shi Y,et al.Expert consensus on neonatal pain assessment and analgesia management(2020 edition)[J]. Chin J Contemp Pediatr,2020,22(9):923-930.
[12] Koukou Z,Theodoridou A,Taousani E,et al.Effectiveness of non-pharmacological methods,such as breastfeeding,to mitigate pain in NICU infants[J]. Children(Basel),2022,9(10):1568.
[13] Bull T,Corley A,Lye I,et al.Cannula and circuit management in peripheral extracorporeal membrane oxygenation:an international survey of 45 countries[J]. PLoS One,2019,14(12):e0227248.
[14] Gorski LA,Hadaway L,Hagle ME,et al.Infusion therapy standards of practice,8th edition[J]. J Infus Nurs,2021,44(1S Suppl 1):S1-S224.
[15] Devrim İ,Demiray N,Oruç Y,et al. The colonization rate of needleless connector and the impact of disinfection for 15 s on colonization:a prospective pre-and post-intervention study[J]. J Vasc Access,2019,20(6):604-607.

Nursing of a newborn with closed thoracic drainage by intravenous indwelling catheter under the support of extracorporeal membrane oxygenation

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