Nursing experience of non-invasive ventilation in prone position for a patient with acute respiratory distress syndrome combined with COVID-19 (1例新型冠状病毒肺炎合并急性呼吸窘迫综合征患者俯卧位无创通气护理体会)

Abstract

This paper summarized the nursing experience of non-invasive ventilation in prone position for a patient with acute respiratory distress syndrome combined with COVID-19. Key issues in nursing management included nursing assessment in the whole procedure of non-invasive ventilation in prone position, infection prevention, management of body position and tube, skin care, health education and so on. In the early stage of COVID-19 complicated with ARDS, non-invasive ventilation in prone position can not only effectively reduce the tube intubation and improve hypoxemia, but also reduce the labor cost and level of difficulty in nursing, reduce the workload and exposure time of medical staff, and reduce the risk of infection among medical staff. (本文总结1例新型冠状病毒肺炎合并急性呼吸窘迫综合征(ARDS)患者俯卧位无创通气治疗康复的护理经验。护理措施包括俯卧位无创通气全程护理评估、感染预防、体位及管道的管理、皮肤护理、健康宣教等。新型冠状病毒肺炎合并ARDS早期患者在清醒状态下进行无创呼吸机俯卧位通气, 不仅有效减少插管, 改善低氧血症, 同时也可以减轻人力成本和护理难度, 减少医务人员的工作量及暴露时间, 减少医务人员的感染风险。)

Keywords

• covid-19
• acute respiratory distress syndrome
• prone position
• non-invasive ventilation
• 新型冠状病毒肺炎
• 急性呼吸窘迫综合征
• 俯卧位
• 无创通气