呼吸治疗师在成人通过神经学标准宣布死亡的标准呼吸暂停测试程序中的实际作用。

IF 2.3 Multidisciplinary Respiratory Medicine Pub Date : 2022-06-22 eCollection Date: 2022-01-12 DOI:10.4081/mrm.2022.843
Adrian A Jarquin-Valdivia, Earl B Glasgow, Todd J Meyer
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引用次数: 0

摘要

重症监护室的呼吸治疗师(RTs)有时会发现自己参与并协助进行呼吸暂停测试(ApT)。ApT是一个临床复杂的程序,是根据神经系统标准(DNC)协议进行临床死亡宣告的最后一部分,需要医生和RTs之间的密切合作。因此,ApT应该在执行时高度关注细节。背景和目标:RTs需要精通ApT的复杂性。除了在非常大的医疗中心,ApT的执行频率不够高,不足以保持高水平的熟练程度。对于一个成功的ApT,结构化的知识和准备是至关重要的。本出版物试图填补这一空白,为成人住院患者的ECMO(体外膜氧合)。为了生成此报告,我们使用了已发布的指南,以及我们在大型医疗中心执行apt的个人经验。结论:从RTs的角度出发,我们通过清单提供了一个结构,以指导和帮助他们领导ApT的有效表现。
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The practical role of the respiratory therapist in the standard apnea test procedure for declaration of death via neurologic criteria in adults.

Introduction: Respiratory therapists (RTs) in the intensive care unit can at times find themselves involved in and assisting during the performance of the apnea test (ApT). The ApT is a clinically complex procedure and is the last part of the clinical declaration of death by neurologic criteria (DNC) protocol and requires close collaboration between the physicians and the RTs. As such, the ApT should be performed with the upmost attention to detail.

Context and aims: The RTs need to be versed on the intricacies of the ApT. Except in very large medical centers, the ApT is not a procedure performed with high enough frequency as to maintain high level of proficiency. For a successful ApT, structured knowledge and preparation are paramount. This publication attempts to fill that gap, for adult hospitalized patients not on ECMO (extracorporeal membrane oxygenation). To generate this report, we make use of the published guidelines, and our personal experience on performing ApTs in large medical centers.

Conclusion: We provide a structure by means of a checklist, from the RTs' perspective, to guide and help them lead on the efficient performance of the ApT.

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来源期刊
Multidisciplinary Respiratory Medicine
Multidisciplinary Respiratory Medicine Medicine-Pulmonary and Respiratory Medicine
自引率
0.00%
发文量
23
期刊介绍: Multidisciplinary Respiratory Medicine is the official journal of the Italian Respiratory Society - Società Italiana di Pneumologia (IRS/SIP). The journal publishes on all aspects of respiratory medicine and related fields, with a particular focus on interdisciplinary and translational research. The interdisciplinary nature of the journal provides a unique opportunity for researchers, clinicians and healthcare professionals across specialties to collaborate and exchange information. The journal provides a high visibility platform for the publication and dissemination of top quality original scientific articles, reviews and important position papers documenting clinical and experimental advances.
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