关于感染性内心炎患者周术管理的国际调查
Jennifer S Breel1, Susanne Eberl1, Benedikt Preckel1
1Department of Anesthesiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Journal of cardiothoracic and vascular anesthesia
|July 12, 2023
概括
这项调查揭示了心脏麻醉师如何管理传染性内心炎手术的显著差异. 存在知识差距,特别是在多学科团队参与方面,影响患者的护理和结果.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 传染性疾病 传染性疾病
背景情况:
- 传染性内心炎需要复杂的术后管理.
- 心脏麻醉医生在这些病例的多学科决策中的作用还不清楚.
- 目前的做法可能在不同中心有很大差异.
研究的目的:
- 评估目前感染性内心炎患者心脏手术的术后管理实践.
- 评估心脏麻醉师在多学科团队和决策过程中的参与.
- 确定这些复杂患者管理中的变化和潜在的知识差距.
主要方法:
- 进行了一项前性的,开放的,24项,基于网络的横截面调查.
- 该调查针对欧洲心胸麻醉和重症监护协会 (EACTAIC) 的成员.
- 从44个国家收集了156个回复,回复率为16.6%.
主要成果:
- 大多数受访者在欧洲医院执业,许多中心缺乏多学科内心炎团队.
- 心脏麻醉医生很少参与有关手术指示的团队决策 (88%),但经常进行手术内抗生素治疗 (62%) 和透食管心声学 (90%).
- 在术后监测,凝血和输血管理方面观察到显著的异质性.
结论:
- 目前对接受心脏手术的传染性内心炎患者的术后管理显示出相当大的异质性.
- 已经确定了知识缺口,特别是关于心脏麻醉科医生融入多学科决策的知识缺口.
- 需要进一步的研究来优化治疗策略,并改善这种患者群体的术后结果.
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