[血液动力学监测--(不是)护理工作?]

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-01 Epub Date: 2024-10-29 DOI:10.1007/s00063-024-01192-2
Carsten Hermes
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引用次数: 0

摘要

确保充足和稳定的血液动力学状态是急诊室和重症监护室病人护理的重要组成部分。循环状态的评估非常复杂,并受到患者的具体特征、医务人员的经验和可用设备的影响。血液动力学监测包括有创和无创两种监测循环参数的方法。它通过提醒医护人员注意偏差(包括临界值)来支持患者管理并确保治疗成功。在实践中,数字数据往往比全面的患者观察更受重视,从而可能导致误解。高级实践护士 (APN) 是高素质的护理专业人员,由于接受过高级培训,他们在很大程度上可以自主工作。然而,德国目前对这些职业没有统一的法律规定。有必要为相关的学术项目制定明确的定义和全国性法规。跨专业合作以及护理人员的资质和数量对治疗效果有重大影响。血液动力学涉及血液流动的物理原理和生命参数评估,以确保器官灌注和氧合。护理人员的能力和知识对患者的安全护理至关重要。地方标准操作程序(SOP)应考虑跨专业合作和团队成员的资质。
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[Hemodynamic monitoring- (NOT) a nursing task?!]

Ensuring adequate and stable hemodynamic conditions is an essential component of patient care in emergency and intensive care units. The assessment of circulatory status is complex and influenced by patient-specific characteristics, medical staff experience, and available equipment. Hemodynamic monitoring encompasses both invasive and noninvasive methods to monitor circulatory parameters. It supports patient management and ensures therapeutic success by alerting healthcare providers to deviations, including critical values. In practice, numerical data often receive more emphasis than comprehensive patient observation, potentially leading to misinterpretation. Advanced practice nurses (APNs) are highly qualified nursing professionals who work largely autonomously due to their advanced training. However, there is currently no uniform legal regulation for these professions in Germany. Clear definitions and nationwide regulations for related academic programs are necessary. Interprofessional collaboration, as well as the qualifications and numbers of nursing staff, significantly impact therapeutic outcomes. Hemodynamics involves the physical principles of blood flow and the assessment of vital parameters to ensure organ perfusion and oxygenation. The competence and knowledge of nursing staff are crucial for safe patient care. Local standard operating procedures (SOPs) should consider interprofessional collaboration and the qualifications of team members.

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来源期刊
CiteScore
2.60
自引率
9.10%
发文量
93
审稿时长
6-12 weeks
期刊介绍: Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.
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