异丙醇芳香疗法治疗直升机急诊病人恶心的疗效评价

Q3 Nursing

Air Medical Journal Pub Date : 2024-11-01 DOI:10.1016/j.amj.2024.08.004

David Koenig DO , Kevin P. Young FP-C , Robert Treat PhD , J. Marc Liu MD, MPH, FAEMS , Timothy Lenz MD, MPH, EMT-P, FAEMS, FACEP

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引用次数: 0

摘要

目的异丙醇（IPA）芳香疗法能以最低的成本快速缓解恶心，是普遍可用的，并且没有已知的显著不良反应。这些属性使其成为院前设置的理想选择。然而，在重症监护运输（CCT）中使用IPA的研究尚未发表。本研究的目的是调查CCT患者是否通过IPA芳香疗法改善恶心症状。方法对中西部地区提供空中和地面运输的CCT系统服务的成人患者进行了为期2年的回顾性图表回顾。数据是在方案改变前1年和改变后1年获得的，其中一线止吐剂从静脉注射昂丹司琼（改变前）改为吸入IPA（改变后）。IPA是通过在患者吸入时在他们的鼻子下放置一个垫子来管理的。比较改变前后恶心症状改善的比例。结果共纳入病历217份。在直升机紧急医疗服务中，50例患者中有33例（66.0%）报告昂丹司琼改善，21例患者中有13例（61.9%）报告IPA改善（P = .742）。地面紧急医疗服务运送的患者中，使用昂丹司琼的73例中有65例（89.0%）得到改善，使用IPA的73例中有40例（54.8%）得到改善。措施)。结论直升机紧急医疗服务患者使用昂丹司琼与IPA后恶心症状改善比例无显著差异。在地面紧急医疗服务患者中，与IPA相比，使用昂丹司琼改善恶心症状的患者更多。本研究提示IPA可能是缓解CCT患者恶心的更快、更有效的替代方案。

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Evaluation of Isopropyl Alcohol Aromatherapy in Treating Nausea in Helicopter Emergency Medical Services Patients

Objective

Isopropyl alcohol (IPA) aromatherapy provides rapid relief of nausea at minimal cost, is universally available, and has no known significant adverse effects. These attributes make it ideal for the prehospital setting. However, there is no published research on the use of IPA in critical care transport (CCT). The objective of this study was to investigate if CCT patients experience improvement of nausea with IPA aromatherapy.

Methods

A retrospective chart review was performed over a 2-year period on adult patients served by a Midwest CCT system that provides both air and ground transport. Data were obtained 1 year before and 1 year after a protocol change in which the first-line antiemetic was changed from intravenous ondansetron (prechange) to inhaled IPA (postchange). The IPA was administered by placing a pad under the patient's nares as they inhaled. The proportion of nausea improvement was compared between the prechange and postchange periods.

Results

Two hundred seventeen records were included. In helicopter emergency medical services, 33 of 50 (66.0%) patients reported improvement with ondansetron, and 13 of 21 (61.9%) reported improvement with IPA (P = .742). Patients transported by ground emergency medical services showed improvement in 65 of 73 (89.0%) cases for ondansetron and 40 of 73 (54.8%) for IPA (P < .001).

Conclusion

There was no difference in the proportion of nausea improvement between ondansetron and IPA in helicopter emergency medical services patients. In ground emergency medical services patients, more patients had nausea improvement with ondansetron compared with IPA. This study suggests IPA may be a faster, more efficacious alternative for nausea relief in CCT patients.

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来源期刊

Air Medical Journal Nursing-Emergency Nursing

CiteScore

1.20

自引率

0.00%

发文量

112

审稿时长

69 days

期刊介绍： Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.