调查英国重症监护室的心声回声提供
Waqas Akhtar1, Lenster Marshal2, Helen Buglass3
1Royal Brompton & Harefield Hospitals, London, UK.
Journal of the Intensive Care Society
|November 11, 2024
概括
在英国重症监护室 (ICU) 实施捐赠者心声扫描面临挑战,在获得全面或集中扫描方面存在重大延迟,特别是在标准时间之外. 虽然大多数ICU都有超声波设备,但远程查看能力有限.
科学领域:
- 关键护理医学 关键护理医学
- 心血管成像 - 心血管成像
- 医疗保健服务研究 医疗服务研究
背景情况:
- 供体心声学对于评估器官活力至关重要.
- 在英国重症监护室 (ICU) 实施需要评估.
- 国家卫生服务血液和移植监督器官捐赠过程.
研究的目的:
- 评估目前的可行性和实施在英国ICU全面和专注的供体心声学.
- 识别在捐赠途径中对心声回声学获取和解释的障碍和促进者.
主要方法:
- 这是一项针对英国四个国家95家医院的全国性调查.
- 收集了经过心声回声学培训的人员的数据,全面和集中扫描的采集时间,以及护理点超声波 (POCUS) 设备的可用性.
- 对心声回声图像的远程查看能力的调查.
主要成果:
- 大多数ICU都有训练有素的工作人员和具有心声回声学能力的POCUS机器.
- 在获得全面回声心脏图 (48%在工作日6小时内,11%在工作时间以外) 和集中回声心脏图 (60%在工作日6小时内,20%在工作时间以外) 中存在显著的延迟.
- 超过50%的医院在正常工作时间之外需要超过24小时的扫描,只有52%的医院有远程查看.
结论:
- 目前在英国重症监护室实施供体心声学是可行的,但面临着严重的时间限制,特别是在标准工作时间之外.
- POCUS机器的可用性很高,但在及时获取和解释方面仍然存在挑战,这会影响器官捐献途径.
- 改善及时获得全面和专注的心声回声学,以及增强的远程查看,对于优化器官捐赠管理至关重要.
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