麻醉师参与隔离病房新冠肺炎危重患者救治经验的学习

Xueyin Chen, Gang Wang, Kai Yang, Jing Wu, Xiangdong Chen
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引用次数: 0

摘要

2019年新型冠状病毒疾病(新冠肺炎)爆发后,武汉重症病例急剧增加,远远超过ICU的负荷。因此,隔离病房成了治疗重症病例的地方。由于麻醉师的重要作用,华中科技大学同济医学院附属协和医院的20多名麻醉师被派往8个重症患者隔离病房。他们参与了800多名新冠肺炎重症患者的治疗,其中包括300多例危重病例,120多例康复情况较好。他们的工作包括气管插管、中心静脉插管、动脉插管和血气分析、床边心肺超声检查,更重要的是,他们在气管插管后的呼吸管理、心血管事件的治疗和精确的液体治疗中发挥了重要作用。在这些工作中,麻醉师通过与其他专家的合作,提高了自己的专业技能,包括病历和处方的标准书写技能、适当的传染病防护、呼吸系统疾病的标准药物和氧气治疗,以及持续管理危重病例的能力。关键词:麻醉师;医院,隔离;重症监护;新冠肺炎
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Anesthesiologist’s learning from experience of participating in the treatment of critically ill patients with COVID-19 in isolation wards
After the outbreak of 2019 novel coronavirus diseases (COVID-19), the number of severe cases in Wuhan increased dramatically, which was far beyond the load of ICU. As a result, the isolation ward became the place for the treatment of severe cases. Because the important role of anesthesiologists, more than 20 anesthesiologists from Union Hospital of Tongji Medical College, Huazhong University of Science and Technology have been sent to eight isolation wards of severe patients. They have participated in the treatment of more than 800 severe COVID-19 patients, including more than 300 critical cases and more than 120 cases were getting better recovery. Their work included endotracheal intubation, central venous catheterization, artery cannulation and blood gas analysis, and bedside cardiopulmonary ultrasound examination, and more importantly they have played an important role in respiratory management after endotracheal intubation, the treatment of cardiovascular events and precise fluid therapy. During these works, anesthesiologists improved their own professional skills through the cooperation with other specialists, including the standard writing skills of medical records and prescription, appropriate protection against infectious diseases, standard medication and oxygen therapy for respiratory diseases, and the capability of continuously management of critical cases. Key words: Anesthesiologists; Hospitals, isolation; Critical care; COVID-19
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中华麻醉学杂志
中华麻醉学杂志 Medicine-Anesthesiology and Pain Medicine
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