相关实验视频
Updated: Jul 10, 2025

07:30
Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
8.1K
在手术和术后喉切除术后改善康复结果
Catherine H Frenkel1, Erin E Donahue2, Daniel Brickman1
1Division of Surgical Oncology, Department of Surgery, Levine Cancer Institute, Atrium Health, Charlotte, North Carolina, USA.
The Laryngoscope
|November 20, 2023
概括
手术后增强恢复 (ERAS) 计划没有减少喉切除术患者的停留时间或重大并发症. 然而,ERAS改善了术后护理质量和患者体验.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 喉切除术患者因社会,营养和药物滥用因素而面临重大术后风险,而此前的癌症治疗也加剧了这一问题.
- 手术后增强恢复 (ERAS) 计划旨在减轻手术风险并改善患者的治疗结果.
- 在喉切除术护理中实施ERAS计划需要对其对并发症和生存的影响进行调查.
研究的目的:
- 评估ERAS计划实施对喉切除术患者术后并发症率的影响.
- 评估ERAS对瘤结果的影响,包括整体存活率和无复发存活率.
- 为了比较术后过程和临床结果的喉切除患者在ERAS实施之前和之后.
主要方法:
- 一项历史的队列研究,比较了在一个机构接受喉切除术的83名患者 (50名ERAS前,33名ERAS后).
- 主要结局包括停留时间 (LOS),退院后30天内Clavien-Dindo并发症,整体存活率 (OS) 和无复发存活率.
- 统计分析比较了前ERAS和ERAS组之间的结果.
主要成果:
- 实施ERAS显示了手术前营养干预和术后呼吸机独立性的改善.
- 在ERAS和前ERAS组之间,在严重 (≥3级) 并发症或停留时间方面没有发现显著差异.
- 瘤结局,包括整体存活率和无复发存活率,两组之间没有显著差异.
结论:
- 在这个喉切除队列中,ERAS计划没有显著改善停留时间,重大术后并发症或瘤结果.
- 埃拉斯对二次外科外科终点产生了积极影响,表明了医疗保健的质量效益.
- 可能需要进一步的研究来优化ERAS协议的喉切除患者,以实现更广泛的临床改善.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
91
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
91
Endotracheal Intubation II: Nursing Management
710
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
710
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
210
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...
210
Suctioning the Nasopharyngeal Airway
449
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
449
Endotracheal Tube Extubation
749
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
749
Tracheostomy Care II: Procedure
201
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
201

