支持-反对辩论:危急病患者应该在床边或在手术室接受手术吗?
Kunal Karamchandani1, Matthew Evers2, Travis Smith2
1From the Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.
Anesthesia and analgesia
|November 16, 2023
概括
在重症监护室 (ICU) 的非手术室麻醉 (NORA) 为不稳定的患者提供关键护理. 本评论探讨了在ICU和手术室中执行床边手术的挑战和好处.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 非手术室麻醉 (NORA) 正在扩大,越来越多的手术在传统手术室 (OR) 外进行.
- 重症监护室 (ICU) 已成为紧急和紧急手术的常见场所,特别是在重症患者身上.
- ICU-NORA为太不稳定的OR运输患者提供必要的医疗护理.
研究的目的:
- 讨论在ICU提供麻醉护理的独特挑战和考虑.
- 与OR相比,在ICU中提出支持和反对常规病床手术的论点.
主要方法:
- 这篇文章是一个支持-反对的评论.
- 它涉及讨论ICU-NORA的特殊考虑.
- 提出了支持和反对ICU床边手术的论点.
主要成果:
- 在ICU中执行手术需要精心计划,因为患者的并发症和环境障碍.
- 与OR相比,NORA在ICU中的安全性和质量具有独特的挑战.
结论:
- 对于重症患者来说,ICU-NORA提供了至关重要的服务,但需要谨慎管理.
- 决定在ICU床边进行手术而不是OR需要权衡特定的风险和益处.
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
Ethical Issues
978
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
978
Psychosurgery
57
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
57
Endoscopic Studies II: Thoracocentesis
282
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...
282
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
17
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
17


