临床与病理杂志2024，Vol.44Issue(10)：1403-1412,10.DOI:10.11817/j.issn.2095-6959.2024.240544
主动脉夹层术后低氧血症患者俯卧位通气管理的最佳证据
Best evidence for prone position ventilation management in hypoxemic patients after aortic dissection surgery
摘要
Abstract
Objective:Currently,there is no systematic evidence-based protocol for the management of prone position ventilation in hypoxemic patients after aortic dissection surgery.This study aims to retrieve,evaluate,and summarize the relevant evidence for prone position ventilation management in hypoxemic patients post-aortic dissection surgery,providing evidence for clinical standardization of prone position ventilation and prevention of complications. Methods:Based on the"6S model"of the evidence pyramid,a literature search was conducted across major databases and professional websites for studies related to prone position ventilation in hypoxemic patients after aortic dissection surgery,including clinical decisions,guidelines,expert consensus,systematic reviews,and randomized controlled trials(RCTs).The included studies were evaluated for quality,and evidence extracted and summarized. Results:A total of 20 articles were included,consisting of 1 clinical decision,7 guidelines,5 expert consensuses,2 systematic reviews,4 RCTs,and 1 quasi-experimental study.A total of 27 pieces of evidence were summarized,covering 5 categories:assessment,pre-implementation preparation,personnel organization and management,management during implementation,and timing for ending the procedure. Conclusion:The evidence summarized in this study for prone position ventilation management after aortic dissection surgery is comprehensive and scientific,providing an evidence-based foundation for clinical healthcare professionals to standardize prone position ventilation practices.关键词
主动脉夹层/低氧血症/俯卧位通气/证据总结/循证护理学Key words
aortic dissection/hypoxemia/prone position ventilation/evidence summary/evidence-based nursing引用本文复制引用
程晓凡,武文静,赵佳琪,蔚玲,张珊,白璐..主动脉夹层术后低氧血症患者俯卧位通气管理的最佳证据[J].临床与病理杂志,2024,44(10):1403-1412,10.基金项目
新冠感染应急攻关科研专项(2023xg13).This work was supported by COVID Infection Emergency Tackling Research Specialty,China(2023xg13). （2023xg13）
