全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

床旁实时超声在重症护理中的应用
Application of Bedside Real-Time Ultrasound in Intensive Care

DOI: 10.12677/NS.2021.106108, PP. 660-665

Keywords: 护理,临床,超声,重症护理,超声技术
Nursing
, Clinical, Ultrasound, Intensive Care, Ultrasound Technology

Full-Text   Cite this paper   Add to My Lib

Abstract:

重症超声技术如今已经被广泛运用到重症病房的检查、诊断及病情评估中,它以简单、快速、无创、可重复、无辐射等特点,使医生能够实时动态化的评估重症患者的实际病情,对病情的诊评估诊断更全面及时,从而帮助医生制定出更为科学、准确的治疗方案。随着重症超声的不断发展,大家逐渐意识到,重症监护病房患者病情危重变化快,很多护理指标肉眼无法直接观察或者量化,护士熟练掌握超声技术,可以通过其特有的可视化技术辅助患者的病情监测并用以解决护理工作中的难点。现全面总结了重症超声在护理领域中的应用范围。
Nowadays, the technology of severe ultrasound has been widely used in the examination, diagnosis and evaluation of patients in intensive care units. It is simple, rapid, non-invasive, repeatable and non-radiation, to enable doctors to assess the real-time and dynamic conditions of patients with severe illness, more comprehensive and timely diagnosis, thus helping doctors to formulate a more scientific and accurate treatment program. With the continuous development of intensive care ultrasound, we gradually realized that the critical condition of patients in ICU changes rapidly, many nursing indicators can not be directly observed or quantified by observing, nurses who master the ultrasonic technique can assist the patients’ condition monitoring and solve the difficulties in the nursing work through the special visualization technique. This article summarizes the scope of ultrasound application in the field of intensive care.

References

[1]  胡仕静, 周树生, 吴丹, 等. 膈肌超声预测机械通气撤机结果的价值[J]. 安徽医科大学学报, 2016, 51(5): 673-677.
[2]  刘丽霞, 苏丹, 胡振杰, 等. 超声监测膈肌位移预测ICU机械通气患者撤机能力的临床研究[J]. 中华内科杂志, 2017, 56(7): 495-499.
[3]  刘凯凤, 张郑平, 杨劲松, 等. 床旁超声联合镇静躁动评分指导老年ICU机械通气患者拔管时机[J]. 中国老年学杂志, 2020, 40(12): 2595-2598.
[4]  王浩, 陈玉红. 体外循环手术患者胸部物理治疗的研究进展[J]. 中华现代护理杂志, 2016, 22(26): 3841-3845.
[5]  Ferns, T. and West, S. (2008) The Art of Auscultation: Evaluating a Patient’s Respiratory Pa-thology. British Journal of Nursing, 17, 772-777.
https://doi.org/10.12968/bjon.2008.17.12.30307
[6]  王浩, 陈娟, 陈玉红. 综合胸部物理治疗在体外循环手术患者中的应用[J]. 中华现代护理杂志, 2017, 23(8): 1043-1049.
[7]  Tasci, O., Hatipoglu, O.N., Cagli, B., et al. (2016) Sonography of the Chest Using Linear-Array ver-sus Sector Transducers: Correlation with Auscultation, Chest Radiography, and Computed Tomography. Journal of Clinical Ultrasound, 44, 383-389.
https://doi.org/10.1002/jcu.22331
[8]  Lichtenstein, D., Goldstein, I., Mour-geon, E., et al. (2004) Comparative Diagnostic Performances of Auscultation, Chest Radiography, and Lung Ultrasonog-raphy in Acute Respiratory Distress Syndrome. Anesthesiology, 100, 9-15.
https://doi.org/10.1097/00000542-200401000-00006
[9]  王小亭, 刘大为, 于凯江, 等. 中国重症超声专家共识[J]. 中华内科杂志, 2016, 55(11): 900-912.
[10]  谭玉凤, 曾兰芳, 赖冬梅. ICU患者留置尿管漏尿原因分析及护理对策[J]. 国际医药卫生导报, 2018, 24(17): 2689-2691.
[11]  孙建华, 刘大为, 王小亭, 等. 超声技术在重症护理领域中的应用进展[J]. 中华护理杂志, 2016, 51(6): 729-732.
[12]  Sun, J., Li, Q., Wu, X., et al. (2020) Nurse-Performed Ultrasound: A New Weapon against COVID-19. Critical Care, 24, Article No. 430.
https://doi.org/10.1186/s13054-020-03160-6
[13]  曹岚, 岳丽青, 周阳, 田盾, 孙杨. 重症护理超声技术在ICU患者管理中的应用[J]. 中国护理管理, 2020, 20(z1): 6-7.
[14]  Sharma, V., Gudi-vada, D., Gueret, R., et al. (2017) Ultrasound-Assessed Gastric Antral Area Correlates with Aspirated Tube Feed Vol-ume in Enterally Fed Critically Ill Patients. Nutrition in Clinical Practice, 32, 206-211.
https://doi.org/10.1177/0884533616681530
[15]  Acar, Y., Tezel, O., Salman, N., et al. (2016) 12th WINFOCUS World Congress on Ultrasound in Emergency and Critical Care. Critical Ultrasound Journal, 8, Article No. 12.
https://doi.org/10.1186/s13089-016-0046-8
[16]  Singer, P., Blaser, A.R., Berger, M.M., et al. (2019) ESPEN Guideline on Clinical Nutrition in the Intensive Care Unit. Clinical Nutrition, 38, 48-79.
https://doi.org/10.1016/j.clnu.2018.08.037
[17]  孙仁华, 江荣林, 黄曼, 蔡国龙. 重症患者早期肠内营养临床实践专家共识[J]. 中华危重病急救医学, 2018, 30(8): 715-721.
[18]  吴金艳, 朱顺芳, 吴艳妮. 机械通气病人应用鼻肠管与胃管肠内营养有效性和安全性比较的Meta分析[J]. 护理研究, 2020, 34(2): 219-226.
[19]  明建青. 床旁超声引导下留置鼻-肠管的临床护理研究[J]. 全科护理, 2020, 18(8): 982-984.
[20]  米元元, 沈月, 王宗华, 等. 机械通气患者误吸预防及管理的最佳证据总结[J]. 中华护理杂志, 2018, 53(7): 849-856.
[21]  米元元, 沈月, 郝彬, 等. ICU患者肠内营养支持并发腹泻的循证护理实践[J]. 中华护理杂志, 2017, 52(11): 1291-1298.
[22]  Yamaoka, I., Kagawa, T., Mizugai, K., et al. (2017) Detecting Enteral Nutrition Residues and Micro-organism Proliferation in Feeding Tubes via Real-Time Imaging. Nutrition in Clinical Practice, 32, 282-287.
https://doi.org/10.1177/0884533616675189
[23]  向成林, 冯仁, 米元元, 等. 床旁超声评估危重症患者肠内营养胃残余量的可行性研究[J]. 中国实用护理杂志, 2020, 36(19): 1446-1451.
[24]  赵浩天, 龙玲, 任珊, 等. 超声监测胃残余量对肠内营养实施的指导和评估新进展[J]. 肠外与肠内营养, 2020, 27(1): 56-60.
[25]  谢先会, 刘茂英, 彭景, 等. ICU患者不同途径置入中心静脉导管感染的对比研究[J]. 解放军护理杂志, 2003, 20(7): 10-11.
[26]  陈珺, 管萍, 何梦雪, 等. 困难置管血液肿瘤婴幼儿2种静脉通路应用效果比较[J]. 护理学杂志, 2020, 35(9): 44-47.
[27]  吴俊梅, 周兴梅, 朱瀛, 等. 综合ICU患者不同PICC置管方式发生导管异位情况分析[J]. 上海护理, 2017, 17(4): 52-55.
[28]  Laksonen, R.P. and Gasiewicz, N.K. (2015) Implementing a Program for Ul-trasound-Guided Peripheral Venous Access: Training, Policy and Procedure Development, Protocol Use, Competency, and Skill Tracking. Nursing Clinics of North America, 50, 771-785.
https://doi.org/10.1016/j.cnur.2015.07.010
[29]  Shokoohi, H., Boniface, K., Mccarthy, M., et al. (2013) Ultra-sound-Guided Peripheral Intravenous Access Program Is Associated with a Marked Reduction in Central Venous Cathe-ter Use in Noncritically Ill Emergency Department Patients. Annals of Emergency Medicine, 61, 198-203.
https://doi.org/10.1016/j.annemergmed.2012.09.016
[30]  向成林, 冯仁, 米元元, 等. 床旁超声引导外周静脉穿刺在ICU静脉穿刺困难患者中的应用[J]. 中国临床护理, 2019, 11(6): 516-518.
[31]  汤利玲, 宋佳, 龚仕金, 等. 平面内超声引导桡动脉穿刺技术在危重症患者中的应用[J]. 中国乡村医药, 2018, 25(12): 21-22.
[32]  Troianos, C.A., Hartman, G.S., G1as, K.E., et al. (2011) Guidelines for Performing Ultrasound Guided Vascular Cannulation: Recommendations of the American Society of Echocardiography and the Society of Cardiovascu-lar Anesthesiologists. Journal of the American Society of Echocardiography, 24, 1291-1318.
https://doi.org/10.1016/j.echo.2011.09.021
[33]  Gao, Y.B., Yan, J.H., Gao, F.Q., et al. (2015) Effects of Ultra-sound-Guided Radial Artery Catheterization: An Updated Meta-Analysis. The American Journal of Emergency Medicine, 33, 50-55.
https://doi.org/10.1016/j.ajem.2014.10.008
[34]  Aouad-Maroun, M., Raphael, C.K., Sayyid, S.K., et al. (2016) Ultrasound-Guided Arterial Cannulation for Paediatrics. Cochrane Database of Systematic Reviews, 9, CD011364.
https://doi.org/10.1002/14651858.CD011364.pub2
[35]  Esteban, A., Alia, I., Ibanez, J., et al. (1994) Modes of Mechanical Ventilation and Weaning: A National Survey of Spanish Hospitals. Chest, 106, 1188-1193.
https://doi.org/10.1378/chest.106.4.1188
[36]  张志君, 王惠, 钟毓, 等. 新冠肺炎疫情期间远程超声在护理ICU患者膀胱工作中的应用[J]. 成都医学院学报2020, 15(3): 301-303.
[37]  Kim, W.Y., Suh, H.J., Hong, S.B., et al. (2011) Diaphragm Dys-function Assessed by Ultrasonography: Influence on Weaning from Mechanical Ventilation. Critical Care Medicine, 39, 2627-2630.
https://doi.org/10.1097/CCM.0b013e3182266408

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133