摘要
目的 :总结2016年12月至2018年3月我院应用体外膜肺氧合(Extracorporeal Membrance Oxygenation,ECMO)院间转运重症患者的管理经验。方法 :转运前制定完善的预案,对转运途中可能出现的问题作好应对;转运过程中严密监测患者的生命体征、ECMO系统参数等变化,及时处理并发症或意外事件;转运到目的医院后认真交接;自行设计"ECMO重症患者院间转运查检表",防止遗漏要点,以确保转运过程安全有效。结果 :应用ECMO院间转运的11例重症患者经救护车顺利转至我院。转运距离6.5~400.0 km,ECMO运转时间1.0~4.5 h,转运过程中患者呼吸循环稳定,未出现并发症。结论:在完善的仪器设备支持和专业技术团队合作下,应用ECMO院间转运重症患者具有可行性和安全性,可为拯救患者生命争取宝贵时间。
Objective： To summarize the management experience of inter-hospital transfer for 11 critical patients with Extracorporeal Membrane Oxygenation （ECMO） from December 2016 to March 2018. Methods： A good plan to deal with possible problems in transfer, closely monitoring of patients＇ vital signs and ECMO system parameters, timely management of complications or accidents during transfer, serious shift changes between the two different hospitals, and self-designed ＂ECMO critical patient inter-hospital transfer checklist＂ was used to ensure a safe and effective transportation. Results： A total of 11 critical patients were transported with ECMO. The transport distance ranged from 6.5 km to 400.0 km, and the transport time was between 1.0 hour to 4.5 hours. All the patients showed stable respiratory and circulatory function and with no complications during transportation. Conclusions： It is feasible and safe to use ECMO in inter-hospital transfer of critical patients, with the supports of advanced equipments and a professional technical team. Inter-hospital transfer with ECMO saves valuable time for patients.
作者
孙小文
张加乐
徐思怡
邵强
刘芬
钱克俭
江榕
SUN Xiaowen;ZHANG Jiale;XU Siyi;SHAO Qiang;LIU Fen;QIAN Kejian;JIANG Rong(Intensive Care Unite,the First Affiliated Hospital of Nanchang University,Nanchang,330006,China)
出处
《中国护理管理》
CSCD
北大核心
2018年第8期1136-1141,共6页
Chinese Nursing Management
基金
江西省卫生厅项目(20165082)
江西省科技厅项目(赣财文指字[2016]12号)
南昌大学创新基金项目(CX2017246)
关键词
体外膜肺氧合
院间转运
重症患者
管理
Extracorporeal Membrane Oxygenation
inter-hospital transport
critical patients
management
