Abstract:

Objective To standardize nursing management of coronavirus disease 2019（COVID-19） patients with mechanical ventilation. Methods The literature on COVID-19 and the occurrence and prevalence of infectious diseases in the past through databases such as Pubmed,Embase and CNKI were searched and collected by 14 nursing experts from 5 medical institutions in China. 2850 papers were screened and classified by the level of evidence quality. The first draft of the expert consensus was formed. Through 6 rounds of expert consultations and 6 online conference discussions,the items were adjusted and revised,and the final consensus was formed. Results The consensus constructed a mechanical ventilation nursing management system in COVID-19 patients,summarized the latest 9 items with 3 dimensions,including non-invasive positive pressure ventilation management,invasive mechanical ventilation management,infection control points. Conclusion This consensus covers all aspects of mechanical ventilation nursing management of COVID-19 patients. This consensus provides references and guidance for mechanical ventilation nursing management in COVID-19 patients,which is practical and scientific.

Key words: Coronavirus Disease 2019, Mechanical Ventilation, Nursing Management, Expert Consensus

摘要：

目的 形成新型冠状病毒肺炎患者机械通气护理管理专家共识。 方法 由14名护理专家组成编写小组,通过PubMed、Embase、中国知网等多个数据库及网站对新型冠状病毒肺炎及以往传染性疾病发生及流行相关文献进行检索,初筛获得文献2 850篇,并对其进行证据等级划分,形成专家共识初稿,通过6轮专家咨询及6次线上会议讨论,对各条目进行调整、修改,最终形成共识。 结果 该共识总结了无创正压通气管理、有创机械通气管理、感染控制要点3个维度、9个条目的最新证据,主要涉及患者病情监测、机械通气适应证与禁忌证的评估、机械通气效果的评价、保持呼吸道通畅的方法、呼吸机及配件的消毒方法、呼吸机冷凝水的处理、呼吸机相关性肺炎的预防等内容,形成了新型冠状病毒肺炎患者机械通气护理管理体系。 结论 该共识内容覆盖新型冠状病毒肺炎患者机械通气护理管理的各个环节,可为新型冠状病毒肺炎患者机械通气护理管理提供参考及指导。

关键词: 新型冠状病毒肺炎, 机械通气, 护理管理, 专家共识