PDF(Pubmed)
Abstract：
Monitoring is essential to assess changes in the lung condition, to identify heart-lung interactions, and to personalize and improve respiratory support and adjuvant therapies in pediatric acute respiratory distress syndrome (PARDS). The objective of this article is to report the rationale of the revised recommendations/statements on monitoring from the Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2).
MEDLINE (Ovid), Embase (Elsevier), and CINAHL Complete (EBSCOhost).
We included studies focused on respiratory or cardiovascular monitoring of children less than 18 years old with a diagnosis of PARDS. We excluded studies focused on neonates.
Title/abstract review, full-text review, and data extraction using a standardized data collection form.
The Grading of Recommendations Assessment, Development and Evaluation approach was used to identify and summarize evidence and develop recommendations. We identified 342 studies for full-text review. Seventeen good practice statements were generated related to respiratory and cardiovascular monitoring. Four research statements were generated related to respiratory mechanics and imaging monitoring, hemodynamics monitoring, and extubation readiness monitoring.
PALICC-2 monitoring good practice and research statements were developed to improve the care of patients with PARDS and were based on new knowledge generated in recent years in patients with PARDS, specifically in topics of general monitoring, respiratory system mechanics, gas exchange, weaning considerations, lung imaging, and hemodynamic monitoring.
MEDLINE (Ovid), Embase (Elsevier), and CINAHL Complete (EBSCOhost).
We included studies focused on respiratory or cardiovascular monitoring of children less than 18 years old with a diagnosis of PARDS. We excluded studies focused on neonates.
Title/abstract review, full-text review, and data extraction using a standardized data collection form.
The Grading of Recommendations Assessment, Development and Evaluation approach was used to identify and summarize evidence and develop recommendations. We identified 342 studies for full-text review. Seventeen good practice statements were generated related to respiratory and cardiovascular monitoring. Four research statements were generated related to respiratory mechanics and imaging monitoring, hemodynamics monitoring, and extubation readiness monitoring.
PALICC-2 monitoring good practice and research statements were developed to improve the care of patients with PARDS and were based on new knowledge generated in recent years in patients with PARDS, specifically in topics of general monitoring, respiratory system mechanics, gas exchange, weaning considerations, lung imaging, and hemodynamic monitoring.
摘要：
目的：监测对于评估肺部状况的变化至关重要，为了识别心肺相互作用，并个性化和改善小儿急性呼吸窘迫综合征（PARDS）的呼吸支持和辅助治疗。本文的目的是报告第二次儿科急性肺损伤共识会议（PALICC-2）修订后的监测建议/声明的基本原理。
方法：MEDLINE(Ovid)，Embase(Elsevier),和CINAHL完成（EBSCOhost）。
方法：我们纳入了对18岁以下诊断为PARDS的儿童进行呼吸或心血管监测的研究。我们排除了针对新生儿的研究。
方法：标题/摘要评论，全文回顾,和使用标准化的数据收集表格进行数据提取。
结果：建议评估的分级，使用开发和评估方法来识别和总结证据并提出建议。我们确定了342项研究进行全文回顾。产生了与呼吸和心血管监测有关的17项良好实践声明。产生了与呼吸力学和成像监测有关的四个研究陈述，血流动力学监测,和拔管准备监测。
结论：制定了PALICC-2监测良好实践和研究声明，以改善对PARDS患者的护理，并基于近年来在PARDS患者中产生的新知识，特别是在一般监测的主题中，呼吸系统力学,气体交换,断奶考虑，肺成像,和血流动力学监测。
方法：MEDLINE(Ovid)，Embase(Elsevier),和CINAHL完成（EBSCOhost）。
方法：我们纳入了对18岁以下诊断为PARDS的儿童进行呼吸或心血管监测的研究。我们排除了针对新生儿的研究。
方法：标题/摘要评论，全文回顾,和使用标准化的数据收集表格进行数据提取。
结果：建议评估的分级，使用开发和评估方法来识别和总结证据并提出建议。我们确定了342项研究进行全文回顾。产生了与呼吸和心血管监测有关的17项良好实践声明。产生了与呼吸力学和成像监测有关的四个研究陈述，血流动力学监测,和拔管准备监测。
结论：制定了PALICC-2监测良好实践和研究声明，以改善对PARDS患者的护理，并基于近年来在PARDS患者中产生的新知识，特别是在一般监测的主题中，呼吸系统力学,气体交换,断奶考虑，肺成像,和血流动力学监测。
