危重症患儿体外膜肺氧合支持下长途转运的护理

The nursing care of domestic long-distance transport in critically ill children supported by ECMO

总结34例危重症患儿体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)支持下长途转运的护理经验,包括制订转运计划,转运前物品、患儿准备及通知转入科室,转移至救护担架车、转移至急救车、转运途中患儿及ECMO管理,转运后患儿交接,并发症及意外情况的处理等。通过精心计划、团队合作和针对性护理管理,34例危重症患儿ECMO支持下长途转运均安全到达,无患儿病死,最终患儿脱机成功,康复出院。

The nursing experience of domestic long distance transportation in critically ill children with the sup-port of extracorporeal membrane oxygenation(ECMO)was summarized,including the formulation of transport plans,transport goods,the preparation of children and notification of the target department,transferring to the ambulance stretcher,transferring to the ambulance,management of children during transferring and ECMO,handover after transport,the processing of complications and accidents,etc.Through careful planning,teamwork and targeted nursing management,all the 34 critically ill children with ECMO support arrived safely in long-distance transportation,and no child died.Finally,children were successfully taken offline and recovered and discharged.