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在意大利一家三级儿科医院的一日病例手术后的意外入院:一项回顾性研究

Alessandro Vittori¹, Luigi Tritapepe^2,3, Fabrizio Chiusolo⁴

¹Department of Anesthesia and Critical Care, ARCO ROMA, Ospedale Pediatrico Bambino Gesù IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy. alexvittori82@gmail.com.

Perioperative medicine (London, England)

|September 26, 2023

概括

在儿科中,日间外科手术可能是安全且具有成本效益的. 在意大利儿科日间外科手术中,教育计划和谨慎的患者选择导致了非常低的无计划入院率.

科学领域:

儿科手术儿科手术
麻醉学麻醉学
医疗服务管理医疗服务管理

背景情况:

日间外科手术可以节省成本,而不会影响安全.
在Ospedale Pediatrico Bambino Gesù为工作人员和家人实施了一项教育计划.
非计划性入院率是儿科日间外科手术的关键质量指标.

研究的目的:

在儿科环境中评估一天病例手术后的无计划入院率.
评估一天病例手术教育计划的安全性和有效性.
提供意大利关于儿科日间手术结果的数据.

主要方法:

对医院数据库记录的回顾性分析.
专注于需要非计划性一夜间入院的儿科患者.
从2012年9月到2018年4月收集的数据.

主要成果:

在各种手术专业中进行了8826次全身麻醉手术.
与麻醉相关的意外住院病例是最小的 (0.023%),有两个病例 (昏迷,吐).
没有报告任何重大并发症.

结论:

高质量的患者选择对于安全的一日病例手术至关重要.
包括设施安全,家庭教育和员工培训在内的综合方法提高了麻醉安全.
这些发现支持了儿童日间外科手术的安全性和效率,并采用了适当的协议.

关键词:

健行麻醉健行麻醉健行麻醉孩子孩子孩子孩子一天的病例手术手术.疼痛疼痛疼痛疼痛儿科麻醉儿科麻醉不计划入院的情况.

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