单次使用与可重复使用的灵活支气管管道管理和重症监护的灵活支气管镜:一个叙事审查
Sean Boyd1, Ciara J Murphy1, Lindi Snyman1
1Department of Anaesthesiology, Tallaght University Hospital, Tallaght, Dublin, Ireland.
Anaesthesia
|September 30, 2024
概括
将一次性和可重复使用的灵活支气管镜进行比较,显示出有关安全性和可用性的混合证据. 成本效益取决于使用率,一次性设备提供交叉污染优势,但缺乏可回收性.
科学领域:
- 肺病学和重症监护医学 肺病学和重症监护医学
- 医疗器械技术 医疗器械技术
背景情况:
- 灵活的支气管镜是手术室和重症监护室的关键工具.
- 本综述评估了单次使用与可重复使用的灵活支气管镜.
研究的目的:
- 为了比较一次性和可重复使用的灵活支气管镜.
- 分析安全性,有效性,成本效益和环境影响.
主要方法:
- 从MEDLINE,Embase和PubMed数据库中对研究进行叙述性审查.
- 包括人类和动物研究评估灵活的支气管管道管理或重症监护的支气管镜.
- 来自制造商网站的数据和信息的定性综合.
主要成果:
- 这两种类型的灵活支气管镜的安全性和可用性的证据是混合的和异质的.
- 无论是单次使用还是可重复使用的灵活支气管镜,都没有在安全性或可用性方面表现出明显的优势.
- 成本效益受使用频率的影响;一次性设备减少了交叉污染的风险,但需要灭菌/焚烧,并且不能完全回收利用.
结论:
- 需要进一步研究柔性支气管镜的安全性,可用性和环境影响 (生命周期评估).
- 需要更多的研究来确定支气管镜诱导的感染率在重症监护机构.
- 未来的比较研究应该包括新的制造商和设计,以获得全面的见解.
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