关于甲状腺和副甲状腺手术中手术内神经监测的中国指南 (2023年版)
1Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Control, Changchun, China.
Gland surgery
|September 13, 2023
概括
这项研究为手术内神经监测 (IONM) 提供了全面的指导方针,以保护甲状腺和副甲状腺手术期间的喉神经. 它标准化了IONM技术,以更好地临床应用和神经功能保护.
科学领域:
- 神经外科 神经外科
- 内分泌手术 内分泌手术
- 手术创新 在外科创新.
背景情况:
- 术内神经监测 (IONM) 对于在甲状腺和副甲状腺手术中保护神经功能至关重要.
- 现有实践需要标准化,以实现IONM技术的最佳应用.
研究的目的:
- 为IONM在喉神经保护方面制定实用,基于证据的指导方针.
- 帮助临床医生理解和标准化IONM应用.
主要方法:
- 由数百名中国IONM专家共同制定共识.
- 包括以前的指导方针和新的临床前/临床证据.
- 建议使用GRADE系统进行分级.
主要成果:
- 一个最终完成的指导方针,有42个建议.
- 适用于开放,内镜和机器人甲状腺和副甲状腺手术.
结论:
- 这代表了IONM在中国甲状腺和副甲状腺手术中最全面的指南.
- 这些指南旨在为改善神经保护提供信息和指导临床实践.
更多相关视频
11:46Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model
Published on: October 13, 2022
1.5K
05:12Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
3.7K
相关概念视频
Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
15
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
