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术前麻醉和其他复杂病例的团队会议:叙述性审查
Antoine Baumann1, Dan Benhamou2
1Hôpital Bicêtre, Assistance Publique - Hôpitaux de Paris, Service d'Anesthésie Réanimation Médecine Péri Opératoire, Le Kremlin-Bicêtre, France.
Anaesthesia, critical care & pain medicine
|August 3, 2024
概括
术前团队会议,包括麻醉团队会议 (ATM),可以提高复杂的外科病例管理. 然而,目前改善患者结果的证据有限,需要进一步研究ATM有效性.
科学领域:
- 在外科手术期间的医学.
- 手术管理的手术管理.
- 麻醉学 麻醉学
背景情况:
- 对于高危患者来说,传统的手术和麻醉咨询可能不足.
- 已经建立了手术前的团队会议,如手术团队会议 (STM) 和多学科团队会议 (MDTM).
- 麻醉团队会议 (ATM) 正成为改善外科手术期间护理的战略.
研究的目的:
- 系统地审查关于手术前团队会议的文献,重点关注理论方法,实践和影响.
- 专门研究手术前麻醉团队会议 (ATM) 在管理复杂的手术病例中的作用和影响.
主要方法:
- 从1980年到2024年进行了叙事文学评论.
- 研究重点关注了手术前会议的实践和对患者结果,治疗遵从性和团队合作的影响.
- 进行了研究结果的定性综合.
主要成果:
- 确定并审查了14项研究.
- 大多数研究重点是多学科团队会议 (MDTM) (n=11).
- 只有一个研究专门讨论了麻醉团队会议 (ATM).
结论:
- 目前缺乏强有力的证据表明,手术前的团队会议可以改善硬患者的结果参数.
- 麻醉团队会议 (ATM) 在临床实践中的具体作用和影响仍未得到充分研究.
- 需要进一步的精心设计的研究来评估术前ATM对护理质量和患者结果的影响.
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