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在四级中心中处理的脑电图的内科使用:质量改进审计

Zahra Moaiyeri¹, Jumana Mustafa¹, Massimo Lamperti¹

¹Anesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.

Journal of clinical monitoring and computing

|June 20, 2024

概括

在全身麻醉病例中,手术内脑电图 (EEG) 监测的使用率达到61%,显示进展,但未达到100%的目标. 建议继续教育,以增加所有外科领域的大脑监测的采用.

科学领域:

麻醉学麻醉学
神经科学是一个神经科学.
手术监测手术监测

背景情况:

术内脑电图 (EEG) 提供了诸如麻醉剂定位,意识评估和检测脑血管事件等好处.
脑电图监测可以减少术后的神经认知障碍,促进术后大脑健康.

研究的目的:

评估在接受全身麻醉的患者中采用处理的EEG监测.
评估教育计划对EEG监测利用的影响.

主要方法:

在15天内,在24个地点,在全身麻醉下对379个手术病例进行了前性审计.
数据收集的重点在于在程序期间是否存在处理的EEG监测.

主要成果:

在61% (233/379) 的案件中,使用了经过处理的EEG监测.
心胸外科 (100%),干预心脏病学 (90%),血管外科 (75%) 的使用率很高.
耳鼻喉科 (29%),胃肠内镜 (25%),干预肺部科 (20%) 的发病率较低,神经放射科没有.

结论:

虽然使用EEG监测是合理的,但100%的目标未实现.
需要持续和加强教育举措,以增加未充分利用的外科专业的EEG监测.

关键词:

经过处理的EEG监控质量改进审计审计质量改进审计

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Brain Imaging

Brain Imaging

Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans), magnetic resonance imaging (MRI), functional magnetic resonance imaging (fMRI), and Transcranial Magnetic Stimulation (TMS).