Effects of predictive airway nursing in mechanically ventilated children after liver transplantation
10.3760/cma.j.cn115682-20210810-03531
- VernacularTitle:预见性气道护理在肝移植术后机械通气患儿中的应用
- Author:
Hua LU
1
;
Wenlan ZHANG
;
Suqin REN
Author Information
1. 上海交通大学医学院附属上海儿童医学中心重症医学科 200127
- Keywords:
Child;
Respiration, artificial;
Predictive airway nursing;
Liver transplantation
- From:
Chinese Journal of Modern Nursing
2021;27(32):4458-4461
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of predictive airway nursing model in mechanically ventilated children after liver transplantation.Methods:Using a before-and-after comparison study, we selected 76 cases of mechanically ventilated children undergoing pediatric living donor liver transplantation in Pediatric Intensive Care Unit from January 2016 to December 2019 at Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine. The children were divided into the control group (35 cases) and the intervention group (41 cases) in chronological order. The control group implemented conventional airway nursing, and the intervention group conducted predictive airway nursing. The hospitalization days, mechanical ventilation time, ventilator-associated pneumonia (VAP) incidence, ventilator removal ending and other indicators were compared between the two groups.Results:There was no statistically significant difference in the total incidence of secondary infection between the intervention group and the control group ( P>0.05) . The time of mechanical ventilation were shorter than that in the control group, and the differences were statistically significant ( P<0.05) . The intervention group was better than the control group in successfully removing the ventilator, and the difference was statistically significant ( P<0.05) . Conclusions:The predictive airway nursing model can shorten the time of mechanied ventilation in children after liver transplantation and increase the success rate of removing the ventilator, it can be used for clinical reference.
