结核与肺部疾病杂志2025，Vol.6Issue(3)：291-296,6.DOI:10.19983/j.issn.2096-8493.20250026
前馈干预管理模式对长程静脉-静脉体外膜肺氧合患者预防导管通路相关血流感染的效果观察
Effect observation of feed forward intervention management mode in preventing catheter-related bloodstream infections in patients undergoing long-term veno-venous extracorporeal membrane oxygenation(ECMO)
摘要
Abstract
Objective:This study aimed to explore the impact of feedforward control in preventing catheter-related bloodstream infections in patients undergoing long-term veno-venous extracorporeal membrane oxygenation(V-V ECMO)treatment.Methods:A retrospective observational study was conducted on 18 patients receiving long-term V-V ECMO treatment at an ICU in Wuhan Pulmonary Hospital from January 2021 to December 2023.The study assembled a feedforward control special management team,engaged multidisciplinary medical infection control professionals for quality management,utilized 'experiential' and 'scenario simulation exercise' teaching methods for medical operation training and assessment,and applied treatment forms for quality control.Indicators such as ECMO catheter-related bloodstream infection rate,effective ECMO withdrawal rate,ECMO survival rate,and patient prognosis were monitored.Results:Totally 18 patients underwent 540 days of ECMO treatment without any catheter-related bloodstream infections.Among these patients,10 were successfully weaned off ECMO,resulting in an effective withdrawal rate of 55.6％.Seven patients survived post-discharge,indicating a survival rate of 38.9％.Two patients returned to work,while two managed self-care at home,and two required assistance with daily activities.One patient,suffering from craniocerebral disease,was bedridden and needed daily care.Conclusion:The study concludes that the implementation of feedforward control measures can enhance patient safety during long-term V-V ECMO treatment,reduce the risk of ECMO catheter-related bloodstream infections.关键词
体外膜氧合作用/细菌感染/病人医护管理Key words
Extracorporeal membrane oxygenation/Bacterial infections/Patient care management分类
临床医学引用本文复制引用
钟小锋,刘恒明,袁宽,李姿,赵思敏,李雪雯..前馈干预管理模式对长程静脉-静脉体外膜肺氧合患者预防导管通路相关血流感染的效果观察[J].结核与肺部疾病杂志,2025,6(3):291-296,6.基金项目
Scientific Research Projects of Chinese Research Hospital Association(Y2023FH-WZYXO4-12) 中国研究型医院学会科研课题(Y2023FH-WZYXO4-12) （Y2023FH-WZYXO4-12）
