床边开放式气管切除术的好处:一种安全而经济的替代手术室的替代方案
Arianna Winchester1, David Strum1, Arman Saeedi1
1Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, New York, USA.
Head & neck
|October 3, 2024
概括
床边气管切除术是手术室手术的安全有效替代方案,可大大节省成本,缩短手术时间. 这种方法建议适合患者使用.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 密集护理医学 密集护理医学
背景情况:
- 气管切除术是常见的一种手术手术.
- 气管切除术的设置 (床边和手术室) 可以影响患者的护理和医院费用.
研究的目的:
- 为了比较患者特征和床边气管切除术与手术室气管切除术的成本效益.
- 评估不同气管切除术设置的安全性和效率.
主要方法:
- 对2020年至2023年间接受气管切除术的成人重症监护室 (ICU) 患者的回顾性图表审查.
- 使用描述性统计数据分析程序数据和成本.
主要成果:
- 在165名患者中,有81.2%接受了床边气管切除术.
- 床边气管切除术显示,从咨询到手术的时间和手术时间显著缩短.
- 在术后并发症,30天死亡率或停留时间方面没有发现显著差异.
- 与手术室手术相比,床边气管切除术的成本降低了73.1%.
结论:
- 床边气管切除术提供了优势,包括减少手术时间,减少从咨询到手术的时间,以及大幅节省成本.
- 建议适当的患者考虑床边气管切除术,以优化医院资源利用.
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