加拿大呼吸治疗师协会年会论文集,2022年5月13-14日

T. Tessier
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引用次数: 0

摘要

背景:COVID-19的长期影响尚不清楚。目的:本研究旨在探讨COVID-19感染后3个月对患者胸部CT、肺功能、呼吸系统症状、疲劳、功能能力、健康相关生活质量(HRQoL)和重返工作能力的影响。方法:于2021年5月22日在PubMed、Web of Science和Ovid MEDLINE上进行系统检索,以确定报告COVID-19在3个月随访后持续影响的研究。采用单组荟萃分析收集并分析了达到上述结果的患者比例的数据。结果:数据从24篇文章中提取,这些文章提供了5323名COVID-19后成人在症状出现或出院后3至6个月的信息。CT异常的总患病率为59% (95% CI 4473, I2 = 96%),肺功能异常39% (95% CI 24-55, I2 = 94%),疲劳38% (95% CI 27-49, I2 = 98%),呼吸困难32% (95% CI 24-40, I2 = 98%),胸漆/胸闷16% (95% CI 12-21, I2 = 94%),咳嗽13% (95% CI 9-17, I2 = 94%)。36% (95% CI 22-49, I2 = 97%)和52% (95% CI 33-71)的患者功能能力和HRQoL下降,尽管承认有必要接种疫苗,但他们可能对疫苗犹豫不决。本报告将介绍一种伦理方法论方法,以鼓励对立团体之间的合作。将介绍对疫苗犹豫和支持疫苗的原因。目标是为呼吸学学生和专业人员提供额外的工具来接近疫苗犹豫的患者,以便未来的对抗是合作和积极主动的。关于如何接近和挑战患者价值观的推荐方法可以帮助指导围绕疫苗接种和医疗保健不信任的困难讨论。该病例系列的研究结果表明,SARS-CoV-2患者出现呼吸机相关肺炎是导致严重死亡率的一个原因。本研究强调了无创机械通气策略的重要性,也强调了在有创机械通气中进行仔细的感染控制监测的必要性。由于VAP的高发生率和相关的死亡率增加,在护理ICU收治的SARS-CoV-2病例时,提高抗生素/抗真菌治疗的选择也至关重要。VV-ECMO ARDS的治疗算法考虑VV-ECMO前机械通气的优化;2. VV-ECMO迹象;3.VV-ECMO的启动、维持和脱机阶段;4. 后拔管。患者、VV-ECMO机和机械呼吸机之间复杂的相互作用以及呼吸监测的挑战
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Proceedings from the Canadian Society of Respiratory Therapists Annual Conference May 13–14, 2022
Background: The long-term impact of COVID-19 is still unknown. Objective: This study aimed to explore post COVID-19 effect on patients’ chest computed tomography (CT), lung function, respiratory symptoms, fatigue, functional capacity, health-related quality of life (HRQoL) and the ability to return to work beyond 3 months post-infection. Methods: A systematic search was performed on PubMed, Web of Science and Ovid MEDLINE on May 22, 2021, to identify studies that reported persistent effects of COVID-19 beyond 3 months follow-up. Data on the proportion of patients who had the outcome were collected and analyzed using a one-group meta-analysis. Results: Data were extracted from 24 articles that presented information on a total of 5323 post COVID-19 adults between 3 and 6 months after symptoms onset or hospital discharge. The pooled prevalence of CT abnormalities was 59% (95% CI 4473, I2 = 96%), abnormal lung function 39% (95% CI 24–55, I2 = 94%), fatigue 38% (95% CI 27–49, I2 = 98%), dyspnea 32% (95% CI 24–40, I2 = 98%), chest paint/tight-ness 16% (95% CI 12–21, I2 = 94%), and cough 13%, (95% CI 9–17, I2 = 94%). Decreased functional capacity and HRQoL were found in 36% (95% CI 22–49, I2 = 97%) and 52% (95% CI 33–71, they may be vaccine hesitant despite acknowledging that vaccination is necessary. This presentation will present an ethics methodology approach to encourage collaboration between opposing groups. Reasons for both vaccine hesitancy and vaccine support will be presented. The goal is to provide respiratory students and professionals with additional tools to approach vaccine-hesitant patients so that future confrontations are col-laborative and proactive. Recommended methods on how to approach and challenging patients on their values can help guide difficult discus-sions around vaccinations and mistrust in healthcare. The findings from this case series reveal that the pres-ence of ventilator-associated pneumonia in SARS-CoV-2 patients is a source of significant mortality. This study strengthens the importance of non-invasive mechanical ventilation strategies and also high-lights the need for careful infection control surveillance in invasive mechanical ventilation. Due to the high rates of VAP and associated increased mortality, uprating antibiotic/antifungal therapy selec-tion is also paramount in caring for SARS-CoV-2 cases admitted to the ICU. steps therapeutic algorithm for VV-ECMO ARDS 1. an optimization of mechanical ventilation before VV-ECMO consideration; 2. VV-ECMO indications; 3. start, maintenance and weaning phases of VV-ECMO; 4. post decannulation. The complex interaction between a patient, a VV-ECMO machine, and a mechanical ventilator as well as challenges of respiratory monitoring be
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