关于开放式和机器人辅助脏移植标准化培训课程的建议
Alessio Pecoraro1, Angelo Territo2,3, Romain Boissier4
1Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, Florence, Italy.
Minerva urology and nephrology
|March 1, 2024
概括
这项研究提出了首个开放式 (OKT) 和机器人辅助移植 (RAKT) 的结构化外科课程. 这些标准化的培训计划旨在改善全球移植教育.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 外科教育的外科教育
- 移植手术 移植手术
背景情况:
- 目前缺少用于移植 (KT) 的标准化外科培训计划,包括开放式 (OKT) 和机器人辅助 (RAKT) 技术.
- 这种未得到满足的临床需求突出显示了当前对KT手术程序的外科教育存在的差距.
研究的目的:
- 为OKT和RAKT开发第一个结构化外科课程,使用修改后的Delphi共识方法.
- 建立一个基础,在欧洲和国际范围内标准化移植方面的教育和培训.
主要方法:
- 采用了经过修改的德尔菲共识方法,涉及多个专业的国际专家小组.
- 两项基于网络的调查被分发给专家,以收集关于OKT和RAKT课程陈述的共识.
- 共识被定义为回答专家之间≥75%的一致意见.
主要成果:
- 专家们在德尔菲共识的第二轮会议中就所有声明达成共识,对OKT和RAKT都达成共识.
- 协商一致确定了培训途径的五个关键领域:资格标准,理论培训,模拟,实例观察和模块化手术室培训.
- 第一轮的参与率为OKT的40%,RAKT的67%.
结论:
- 本研究提出了第一个专家驱动的关于OKT和RAKT专用课程的建议.
- 拟议的课程框架旨在标准化移植方面的教育和培训.
- 该课程的实施可以提高全球KT培训的质量和一致性.
相关概念视频
01:28Kidney Transplant I: Introduction
849
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
849
01:26Kidney Transplant II: Surgical Procedure
955
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
955
01:16Kidney Transplant III: Nursing Management
647
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
647