在内镜和支气管镜手术期间对ROSE进行基准细胞学支持
Alayna Anderson1, Edward A Monaco2, Idorenyin F Udoeyo3
1Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Journal of the American Society of Cytopathology
|April 19, 2024
概括
用于内镜和支气管镜活检的快速现场评估 (ROSE) 需要细胞病理学工作人员的大量时间. 支气管镜检查程序和大量实践减少了每个样本的ROSE时间,有助于人员评估.
科学领域:
- 细胞病理学 细胞病理学
- 最少侵入性手术的方法
- 医疗人员 医疗人员
背景情况:
- 越来越多地使用内镜和支气管活检来检查胃肠道,胰腺胆,胸部和中的病变.
- 需要评估细胞病理学实验室人员数量,以便在现场快速评估 (ROSE) 支持.
研究的目的:
- 在内镜和支气管镜手术中分析ROSE的时间和体积数据.
- 为细胞病理学人员需求提供基准数据.
主要方法:
- 在两个月内,在两个医疗中心进行了159次手术的体积和时间数据的审查.
- 包括在现场或远程细胞学ROSE支持的程序.
- 统计分析以根据程序类型,位置和操作员数量来确定趋势.
主要成果:
- 罗斯总共需要109.3小时,平均每次手术0.69小时,每次试样0.40小时.
- 支气管镜检查 (57%的ROSE时间) 显示每样品的检查时间最短.
- 高体积的手术医生每样本的平均ROSE时间较短,特别是在支气管镜检查期间.
结论:
- 内镜和支气管镜程序是细胞学团队ROSE时间的主要组成部分.
- 罗斯时间平均为0.69小时/程序或0.40小时/标本,根据程序和操作员体量而有所不同.
- 数据支持对ROSE服务的改善人员计算.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
192
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...
192
Endoscopic Studies II: Thoracocentesis
256
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...
256
Endoscopic Procedures I: Esophagogastroduodenoscopy
111
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
111
Sputum Studies I: Gram Stain, cytology, and Acid-fast smear and culture
194
Sputum studies are a critical part of diagnosing and treating numerous respiratory conditions. These studies involve obtaining sputum samples for analysis to identify pathogenic organisms and assess the presence of abnormal cells indicative of malignant conditions. This lesson will delve into three fundamental sputum studies: Gram Stain, Cytology, and Acid-fast Smear and Culture.
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
194
Endoscopic Procedures II: Colonoscopy
90
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
90
Endoscopic Procedures V: ERCP
208
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
208


