Best evidence summary for postoperative pulmonary infections management in patients with aneurysmal subarachnoid haemorrhage
10.3969/j.issn.1671-8283.2025.03.008
- VernacularTitle:动脉瘤性蛛网膜下腔出血患者术后肺部感染管理的最佳证据总结
- Author:
Nini WU
1
;
Juan XU
;
Yuwei ZHANG
;
Qianru MA
;
Liping LIU
Author Information
1. 山西中医药大学护理学院,山西 晋中,030619
- Publication Type:Journal Article
- Keywords:
aneurysmal subarachnoid haemorrhage;
lung infection;
risk management;
summary of evidence;
evidence-based nursing
- From:
Modern Clinical Nursing
2025;24(3):54-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective To integrate relevant evidences on postoperative pulmonary infections in patients with aneurysmal subarachnoid haemorrhage so as to provide references for clinical practice.Methods Domestic and international databases were searched,including BMJ Best Practice,UpToDate,Cochrane Library,the U.S.National Guidelines Library,JBI,NICE,Medlive,Embase,CINAHL,Web of Science,PubMed,CNKI,VIP,Wanfang Data,SinoMed and Yiigle for clinical decisions,expert consensus,clinical guidelines,best evidence summaries,systematic evaluations,Meta-analyses,and randomized controlled trials on pulmonary infections in patients with aneurysmal subarachnoid haemorrhage.Literature was screened according to the inclusion criteria.Qualitative assessment was performed,and evidences were extracted.Results A total of 16 articles were included,comprising 2 clinical decisions,7 expert consensus,3 guidelines,3 systematic reviews and 1 RCT.Finally,30 pieces of evidence were obtained in 7 domains:team management,risk assessment,mis-inhalation management,airway management,nutritional support,oral care and rehabilitation.Conclusion The best evidence for the management of postoperative pulmonary infection in patients with aneurysmal subarachnoid haemorrhage summarised in this study can provide references for clinical interventions.Clinical staff should reasonably apply the evidence according to the specific situations.
