Nursing care for patients with COVID-19 on extracorporeal membrane oxygenation (ECMO) support
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- Umeda Aya
- Nursing Department, National Center for Global Health and Medicine, Tokyo, Japan.
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- Sugiki Yuko
- Nursing Department, National Center for Global Health and Medicine, Tokyo, Japan.
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<p>In Japan, four medical facilities including our own - the National Center for Global health and Medicine (NCGM) - have been designated for the treatment of specified infectious diseases by the Minister of Health, Labour, and Welfare. Here, we report our nursing care for patients with severe COVID-19 on extracorporeal membrane oxygenation (ECMO) support. In addition to infection control measures in the form of an N95 mask, a water-repellent isolation gown, a cap, a shielded mask on top of the N95, and double-layered gloves, nurses were required to wear one-piece suits (DuPont™ Tyvek®) and use powered air-purifying respirators (PAPRs). While closed system catheters are normally changed once a day to limit aerosol exposure, they are now changed once every 4 days. Nursing care included equipment checks, monitoring of hemodynamics and respiratory status, management of anticoagulants, observation of the patient’s general condition, management of sedatives and analgesics, prevention of medical device-related pressure ulcers and bedsores, and maintenance of hygiene. Fundamentally sound nursing remains the best practice for patient treatment and management. During nursing care for patients with COVID-19 on ECMO, infection control measures should be faithfully and properly followed.</p>
収録刊行物
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- Global Health & Medicine
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Global Health & Medicine 2 (2), 127-130, 2020-04-30
国立研究開発法人 国立国際医療研究センター
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詳細情報 詳細情報について
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- CRID
- 1390003825179883648
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- NII論文ID
- 130007841122
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- ISSN
- 24349194
- 24349186
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- 使用不可