This study is based on the risk factors of previous studies to formulate a bundle treatment plan to prevent ventilator dependence in children, in order to reduce the proportion of ventilator dependence in children and provide a theoretical basis for reasonable intervention of children with mechanical ventilation.
Participants will receive intensive rehabilitation, nutrition, and tracheotomy at different time periods.
Researchers will compare the control group to see whether it can reduce the incidence of ventilator dependence
None
Status epilepticus
Active intracranial hemorrhage
Intracranial hypertension
Unstable fracture of the spine
Parallel
early bedside rehabilitation
Behavioral① electrical diaphragm stimulation, ② electrical muscle stimulation, ③ passive limb movement, ④ respiratory rehabilitation.
nutrition program
Dietary supplement(1) nutrition department consultation, (2) MDT to develop individualized nutritional pathways, nutrient formulations and use methods, and achieve the target nutritional level within 2 weeks
tracheotomy
Procedure/Surgeryearly tracheotomy for special diseases (e.g central nervous system diseases) receiving mechanical ventilation 14-21 days recommended tracheotomy
limb skeletal muscle function indexes
Skeletal muscle thickness and cross-sectional area were measured
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