摘要
目的:总结成人心搏骤停患者骨髓腔输液治疗的有关证据,为规范临床实践,优化成人心搏骤停患者血管通路建立提供参考依据.方法:系统检索国内外数据库中关于成人心搏骤停患者骨髓腔输液治疗的所有证据,检索时限为建库至2023年5月1日,对纳人文献质量进行独立评价,提取并汇总证据.结果:共纳入11篇文献,包括指南2篇、专家共识3篇、系统评价2篇、证据总结1篇和随机对照试验3篇.从人员组织管理、建立与移除时机、穿刺部位的选择、疼痛管理、并发症的预防和置管与输液效果6个方面总结了 18条证据.结论:本研究总结的成人心搏骤停患者骨髓腔输液的证据,可为医护人员正确使用骨髓腔输液提供参考依据,但在临床实践中还应有针对性地应用证据,从而提高心搏骤停患者骨髓腔输液治疗的效果及安全性.
Abstract
Objective:To retrieve the relevant evidence and recent progress of bone marrow cavity infusion therapy for adult cardiac arrest patients,and to summarize the evidence,and then to provide a reference basis for standardizing clinical practice and optimizing the establishment of vascular access in adult cardiac arrest patients.Methods:A systematic search of national and international databases for all evidence on the treatment of adult cardiac arrest patients with bone marrow cavity infusion was conducted with a time frame of construction to May 1,2023,and the quality of the included literature was independently evaluated,and the evidence was extracted and summarized.Results:A total of 11 papers were included,including 2 guidelines,3 expert consensus papers,2 systematic evaluations,1 evidence summary and 3 RCTs.Eighteen pieces of evidence were summarized in six areas:personnel organization and management,timing of creation and removal,puncture site,pain management,prevention of complications,and effectiveness of tube placement and infusion.Conclusion:This study summarizes the evidence on bone marrow cavity infusion in adult cardiac arrest patients,which can provide a reference basis for healthcare professionals to use bone marrow cavity infusion correctly,but the evidence should also be applied in a targeted manner in clinical practice,so as to improve the efficacy and safety of bone marrow cavity infusion therapy in cardiac arrest patients.
基金项目
自贡市重点科技计划-自贡市医学大数据与人工智能研究院协同创新类项目(2022ZCYGY30)
维普
万方数据