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额外外肺切除术和扩展性肺切除术/脱皮术的麻醉和外科手术期间的考虑:一个范围审查协议
Sui Wah Sean Yip1, Laurence Weinberg2,3, Julian Gooi4
1Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
BMJ open
|May 17, 2024
概括
本范围审查确定了外外肺切除术 (EPP) 和扩展性肺切除术/脱皮术 (ePD) 外科手术的术前麻醉方面的知识差距. 它强调需要标准化风险分层,麻醉技术和术后护理,以改善患者的治疗结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 额外多叶肺切除术 (EPP) 和延长多叶切除术/脱皮术 (ePD) 是针对恶性多叶瘤的细胞减小手术技术.
- 尽管对外科方面进行了广泛的研究,但对EPP/ePD的外科手术期间麻醉管理仍然不太了解.
- 关于这些复杂的手术的风险分层,麻醉技术和术后护理存在重大知识缺口.
研究的目的:
- 综合现有的关于EPP和ePD的外科手术期间麻醉管理的文献.
- 识别在手术前风险分层,手术内麻醉技术和术后护理方面的知识缺口.
- 为未来的研究和临床实践提供信息,以优化接受EPP/ePD的患者的治疗结果.
主要方法:
- 一种基于PRISMA扩展范围审查 (PRISMA-ScR) 的范围审查方法.
- 在欧维德·梅德莱恩,EMBASE和科克兰图书馆的系统文献搜索.
- 对数据进行描述性分析和总结,分为术前,术后和术后阶段.
主要成果:
- 该审查旨在确定当前的做法,并突出缺乏证据的领域.
- 特别关注风险分层,麻醉/止痛技术,血液动力学监测和增强的恢复协议.
- 综合将揭示EPP/ePD患者的术后管理中的不一致性和差距.
结论:
- 在EPP和ePD的外科手术期间麻醉管理中,非常需要标准化的协议.
- 需要进行进一步的研究,以解决风险分层,麻醉技术和术后护理方面的知识差距.
- 优化术后管理对于改善这些重大胸部手术患者的治疗结果和加速康复至关重要.
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