肺动脉带带:一个发展中国家的第三级护理中心20年的经验
Racha Ghoussaini1, Rana Zareef2, Adham Makarem3
1Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Frontiers in cardiovascular medicine
|May 14, 2024
概括
肺动脉带纹是对先天性心脏缺陷的一种有价值的息手术,特别是在发展中国家. 这项为期20年的研究表明,它在低死亡率下继续发挥作用,使得延迟的最终纠正成为可能.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 生产性心脏手术 手术 生产心脏手术
- 手术减轻伤害的治疗方法
背景情况:
- 肺动脉带动 (PAB) 是各种先天性心脏病的重要息手术.
- 它允许分阶段纠正,改善复杂案件的结果.
- 发展中国家的三级护理中心在资源有限的环境中使用PAB.
研究的目的:
- 为了评估20年的肺动脉带带的经验.
- 评估PAB在发展中国家的第三级护理中心的结果和并发症.
- 确定PAB在治疗先天性心脏病变中的长期效用.
主要方法:
- 从2000年1月到2020年7月接受PAB的患者的回顾性图表审查.
- 收集的数据包括人口统计,指示,诊断,心声回声学发现,并发症和结果.
- 对143名接受了手术的患者进行分析.
主要成果:
- 共有143名患者接受了PAB,研究期间结束时,每年手术的数量显著下降.
- 带带的中位数年龄为90天 (IQR为30-150天).
- 术后死亡率很低 (2.8%),患者特征和结果之间没有显著的关联.
结论:
- 肺动脉带纹仍然是特定先天性心脏病变的有效息选择.
- 它允许延迟最终的修复,直到患者达到更高的体重.
- 在发展中国家和资源有限的项目中,PAB特别有价值.
相关概念视频
Tertiary Healthcare System
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Acute Respiratory Failure-V
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Oxygen Delivering System III: Tracheostomy and T-piece
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...


