血液动力学不稳定的外科手术期间患者:麻醉患者安全基金会的共识建议
Michael J Scott1,2,3,
1From the Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Anesthesia and analgesia
|December 28, 2023
概括
专家们制定了17条最佳实践建议,以改善外科手术期间的血液动力学不稳定性护理. 这些指导方针重点关注患者安全,数据,技术以及促进科学理解,以获得更好的结果.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 关键护理医学 关键护理医学
背景情况:
- 外科手术期间的血液动力学不稳定性对患者安全构成重大风险.
- 现有的指导方针可能无法完全解决管理血液动力学不稳定的复杂性.
- 专家的共识对于开发基于证据的最佳实践至关重要.
研究的目的:
- 审查当前关于外科手术期间血液动力学不稳定的科学知识.
- 建立专家对管理风险患者的最佳实践的共识.
- 为改善术后护理提供可行的建议.
主要方法:
- 在2022年11月召开与受邀专家的共识会议.
- 使用了修改后的Delphi过程,包括讨论,投票和反.
- 将专家的意见综合化为高级别建议.
主要成果:
- 为外科手术期间的血液动力学不稳定性护理提出了17项高级别建议.
- 建议涵盖7个领域:当前知识,预防,质量改善,患者信息,技术,国家运动和科学进步.
- 具体建议涉及预防伤害,数据驱动改进和患者参与.
结论:
- 该共识为推进患有或有血动力学不稳定性风险的患者的外科护理提供了一个框架.
- 实施这些建议可以提高患者的安全性和结果.
- 需要进一步的研究和国家倡议来支持这些最佳实践.
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