关于ECLS在肺移植中的外科使用的ISHLT共识声明:第二部分:内科考虑
Archer Kilbourne Martin1, Olaf Mercier2, Ashley Virginia Fritz1
1Division of Cardiovascular and Thoracic Anesthesiology, Mayo Clinic Florida, Jacksonville, Florida.
概括
这份共识声明为在肺移植手术期间使用体外生命支持 (ECLS) 提供了专家建议. 它涉及关键的手术内规划,管理和监测,以改善患者的治疗结果.
科学领域:
- 心胸外科手术 心胸外科手术
- 麻醉学 麻醉学
- 临界护理医学 临界护理医学
- 肺部病理学 肺部病理学
- perfusion 输液是一种输液.
背景情况:
- 外体生命支持 (ECLS) 在肺移植中至关重要,但缺乏标准化的外科手术管理指南.
- 多学科的方法对于优化患者在这个复杂的过程中的护理是必不可少的.
研究的目的:
- 在肺移植中制定关于ECLS在外科手术期间使用的共识声明.
- 为使用ECLS进行肺移植的患者提供基于证据的建议.
主要方法:
- 来自不同学科的国际专家组成了分组,专注于术前,术后和术后阶段.
- 为了达成共识,采用了全面的文献审查和结构化的Delphi方法.
- 为了完善建议,进行了两轮的德尔菲共识.
主要成果:
- 在肺移植中,专门针对ECLS的手术内考虑的39条建议达到了共识.
- 这些建议涵盖了在手术期间 ECLS 的规划,实施,管理和监测.
结论:
- 这份共识声明为需要ECLS的肺移植接受者的术后管理提供了关键的指导.
- 建立的建议旨在标准化和增强多学科团队提供的护理.
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