便携式转运呼吸机联合标准化流程在急诊气管插管重症患者院内转运中的应用效果  

The Application Effect of Portable Transport Ventilator Combined with Standardized Process in theHospital Transportation of Critically Ill Patients with Emergency Tracheal Intubation

作　　者：陈寿明 CHEN Shou-ming(Qishan Emergency Department of Fujian Medical University Affiliated Union Medical College Hospital,Fujian Fuzhou 350000)

机构地区：[1]福建医科大学附属协和医院旗山急诊科,福建福州350000

出　　处：《中国医疗器械信息》2024年第22期26-29,共4页China Medical Device Information

摘　　要：目的:分析便携式转运呼吸机在急诊气管插管重症患者院内安全转运中的应用效果。方法:本研究共84例研究对象,均为2023年1月~2024年3月收治急诊科的气管插管且行院内转运的危重症患者,根据不同呼吸机转运方式进行分组,将接受一体式维拉呼吸机转运的42例患者作为对照组,另外42例行便携式转运呼吸机的患者作为实验组,两组患者均采用标准化流程。对比分析两组患者转运前护士准备时间、转运路上时间包括转运至CT检查室时间、转运至重症监护病房时间和转运至手术室时间,以及患者转运途中呼吸机管路脱落率、患者CT检查过程中呼吸机管路脱落率、患者过床时呼吸机管路脱落率等。结果:在转运时间上,实验组低于对照组(P<0.05)。在呼吸机管路脱落发生率上,实验组低于对照组(P<0.05)。结论:便携式转运呼吸机应用于急诊气管插管危重症患者院内转运的价值高,安全可靠,能有效缩短急诊气管插管行呼吸机辅助呼吸的危重症患者转运至相关科室的时间,同时能有效降低转运过程中呼吸机管路脱落等不良事件的发生风险。Objective:The objective of this study is to analyze the application effect of portable transport ventilator in the safe in-hospital transport of critically ill patients with emergency tracheal intubation.Methods:A total of 84 subjects were enrolled in this study,all of whom were critically ill patients who were admitted to the emergency department from January 2023 to April 2024 with endotracheal intubation and intra-hospital transport,and were divided into groups according to different ventilator transport methods,and 42 patients who received integrated Vera ventilator transport were used as the control group,and 42 patients who received portable transport ventilators were used as the experimental group.A standardized procedure was used for both groups of patients.The nurse preparation time before transport,the time on the transport route,including the time of transfer to the CT examination room,the time of transfer to the intensive care unit and the time of transfer to the operating room,as well as the rate of ventilator tubing dislodgement during transport,the rate of ventilator tubing dislodgement during CT examination,and the rate of ventilator tubing dislodgement when patients pass the bed were compared and analyzed.Results:The experimental group was lower than the control group(P<0.05).In terms of the incidence of ventilator tube dropout,the experimental group was lower than the control group(P<0.05).Conclusion:The application of portable transport ventilator in the intra-hospital transport of critically ill patients with emergency tracheal intubation is high,safe and reliable,which can effectively shorten the transfer time of critically ill patients with emergency tracheal intubation and ventilator-assisted breathing to relevant departments,and effectively reduce the risk of adverse events such as ventilator tubing falling off during transport.

关 键 词：气管插管 重症患者 转运呼吸机 管道脱落 院内转运 

分 类 号：R459.7[医药卫生—急诊医学]