相关实验视频
Updated: Jul 15, 2025

03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
740
减少患有恶性多流的患者入院的数量:质量改善研究
Rebecca R Cloyes1, Enambir Josan2, Nicholas Pastis3
1Pulmonary, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA rebecca.cloyes@osumc.edu.
BMJ open quality
|September 26, 2023
概括
恶性多叶流液 (MPE) 的质量改善举措显示了减少住院患者的趋势. 穿式膜导管 (TPC) 的放置和随访策略需要进一步研究以获得统计学意义.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 提高质量 提高科学 提高质量
背景情况:
- 恶性流 (MPE) 导致严重的呼吸不良,导致每年超过125,000例住院治疗,在美国造成50亿美元的成本.
- 及时插入道性膜导管 (TPC) 与减少MPE患者住院时间和急诊室访问有关.
研究的目的:
- 评估两项旨在减少患有恶性多流的患者入院的干预措施的有效性.
- 通过利益相关者的参与,确定MPE相关住院的潜在原因和潜在解决方案.
主要方法:
- 一项质量改进研究,涉及利益相关者调查 (胸部瘤学,乳腺瘤学,肺部,干预肺部学).
- 实施了两个干预措施:对MPE转诊的紧急分拣和1周的胸腔切除后的随访电话.
- 一个接受TPC安置的预干预组 (n=51) 与使用多变量波桑回归的干预组进行了比较.
主要成果:
- 干预I显示了一个趋势,即住院率下降了41% (RR0.59,p=0.11).
- 干预II显示,住院率下降40%的趋势 (RR0.6,p=0.07).
- 两种干预措施都没有达到减少录取或再录取的统计学意义.
结论:
- 这两项质量改善干预措施都显示出减少MPE再入院的趋势.
- 需要进一步进行大规模的前性研究,以确认这些干预措施在治疗恶性多流的有效性.
相关概念视频
Pleural Effusion II: Symptoms and Management
200
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
200
Pleural Effusion I: Introduction
1.1K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
1.1K
Endoscopic Studies II: Thoracocentesis
312
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
312
Pneumothorax-II
187
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
187
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
231
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
231
Flail Chest-II
197
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
197

