机械通气患者抗菌药物雾化吸入的临床实施  

Clinical practice on atomization inhalation of antibacterial agents in mechanically ventilated patients

作　　者：韦小霞 陈管洁 李雪珠 李晓青[1] 钱淑媛[1] Wei Xiaoxia;Chen Guanjie;Li Xuezhu;Li Xiaoqing;Qian Shuyuan(Jiangsu Provincial Key Laboratory of Critical Care Medicine,Department of Critical Care Medicine,Zhongda Hospital,School of Medicine,Southeast University,Nanjing 210009,China)

机构地区：[1]江苏省重症医学重点实验室,东南大学附属中大医院重症医学科,南京210009

出　　处：《中华重症医学电子杂志》2024年第4期334-337,共4页Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)

基　　金：南京市卫健委一般性课题(YKK22273,YKK21274);东南大学附属中大医院院内课题(KJZC-HL-202105)

摘　　要：抗菌药物雾化吸入是合并耐药菌肺部感染、慢性肺部感染机械通气患者常用的集束化气道管理方法之一。本文综述了机械通气患者抗菌药物雾化吸入的临床实施,包括抗菌药物剂型的选择、药物配制与使用、雾化装置的选择与连接、机械通气参数设置,同时阐述相关不良事件的预防和处理,旨在规范机械通气患者抗菌药物雾化吸入的临床护理,为制订合适的抗菌药物雾化管理方案提供借鉴。Atomization inhalation of antibacterial agents is one of the commonly used bundle airway management in mechanically ventilated patients with antimicrobial-resistant bacteria pneumonia and chronic pulmonary infection.This article reviews the clinical implementation of atomization inhalation of antibacterial agents in mechanically ventilated patients,including selection of antibacterial agent dosage form,drug configuration,use of atomization device,mechanical ventilation setting,and elaborates prevention and treatment of related adverse events,in order to standardize clinical nursing of atomization inhalation of antibacterial agents in mechanically ventilated patients and provide reference for formulating appropriate atomization management plan of antibacterial agents.

关 键 词：机械通气 雾化吸入 抗菌药物 护理 综述 

分 类 号：R472[医药卫生—护理学] R473.5[医药卫生—临床医学]