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在机器人肺切除后,通过胸腔管和数字系统将患者送回家
Travis C Geraci1, Ashley J McCormack1, Robert J Cerfolio1
1Department of Cardiothoracic Surgery, New York University Langone Health, New York, New York.
The Annals of thoracic surgery
|May 24, 2024
概括
患有空气泄漏的机器人肺切除患者可以在术后第一天使用数字排水系统安全出院. 这种方法允许有效的门诊管理,并发症最小,死亡率低.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 数字健康技术 数字健康技术
背景情况:
- 机器人肺切除越来越常见.
- 切割后管理空气泄漏可以延长住院时间.
- 早期出院策略对于患者的康复和资源优化是可取的.
研究的目的:
- 评估在机器人肺切除后将患者送回家的可行性,安全性和结果,使用连接到数字排水系统的胸腔管.
- 通过使用数字监控,评估门诊空气泄漏管理的有效性.
主要方法:
- 一个前性收集的数据库的回顾性分析.
- 包括接受机器人肺切除并计划提前出院 (POD1) 的患者.
- 使用连接到每日远程通信的数字排水系统的胸部管道进行空气泄漏患者的管理.
主要成果:
- 在580名患者中,69名 (12%) 患者在POD1.0上出现空气泄漏.
- 52名患者 (75%) 在POD1上使用数字排水系统出院.
- 门诊患者胸腔管的平均持续时间为4天.
- 发生了一次皮下肺气和5次系统功能障碍的再入院;没有30或90天的死亡.
结论:
- 术后第一天的早期出院对于机器人肺切除后出现空气泄漏的患者来说是可行的和安全的.
- 数字排水系统有助于有效的门诊管理和有限的发病率.
- 这一策略支持有效的患者康复,并减少医疗保健资源利用率.
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