To summarize the nursing care of a patient with acute respiratory distress syndrome who received extracorporeal carbon dioxide removal. Nursing points：nursing during prone position ventilation,dynamic adjustment of lung protective ventilation strategy,coordination and management of nitric oxide therapy,balancing the risk of bleeding and thrombosis,goal-oriented sedation and analgesia,and progressive early rehabilitation exercise. The patient went offline successfully on the 110th day and was transferred to a rehabilitation hospital for further treatment on the 120th day.
GUO Lihua
,
GAO Chunhua
,
LIN Yan
,
QIAO Wenbo
,
ZHOU Feifei
,
CHU Junqing
. Nursing care of a patient with acute respiratory distress syndrome undergoing extracorporeal carbon dioxide removal therapy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(12)
: 1108
-1110
.
DOI: 10.3761/j.issn.2096-7446.2024.12.009
[1] Revercomb L,Hanmandlu A,Wareing N,et al.Mechanisms of pulmonary hypertension in acute respiratory distress syndrome(ARDS)[J]. Front Mol Biosci,2021,7:624093.
[2] İnal V Efe S. Extracorporeal carbon dioxide removal(ECCO2R) in COPD and ARDS patients with severe hypercapnic respiratory failure. A retrospective case-control study[J]. Turk J Med Sci,2021,51(4):2127-2135.
[3] 李泽蒙,蒙延海,李露露,等. 《ESICM急性呼吸窘迫综合征指南:定义、分型和呼吸支持策略》解读[J]. 中华危重病急救医学,2023,35(9):919-926.
Li ZM,Meng YH,Li LL,et al.Interpretation of ESICM Guidelines for acute respiratory distress syndrome:definition,classification and respiratory support strategies—new concepts and methods for acute respiratory distress syndrome[J]. Chin Crit Care Med,2023,35(9):919-926.
[4] 高春华,俞超,王辉,等. 《俯卧位通气治疗核查单》的设计及在重度ARDS病人中的应用研究[J]. 护理研究,2021,35(24):4366-4371.
Gao CH,Yu C,Wang H,et al.Study on the design and application of prone positioning ventilation treatment checklist in patients with severe ARDS[J]. Chin Nurs Res,2021,35(24):4366-4371.
[5] 周飞飞,高春华,林燕. Lemierre综合征患者机械通气撤机后继发声门闭合不全的护理[J]. 中华急危重症护理杂志,2024,5(1):47-50.
Zhou FF,Gao CH,Lin Y.Nursing care of secondary glottis imperfection after weaning in a ventilated patient with Lemierre syndrome[J]. Chin J Emerg Crit Care Nurs,2024,5(1):47-50.
