缺点:内置的胸腔导管会对患者造成伤害
Katie Adams1, Rahul Bhatnagar1,2
1Respiratory Department, North Bristol NHS Trust, Bristol, UK.
Breathe (Sheffield, England)
|November 13, 2024
概括
内置膜导管 (IPC) 提供了一种安全有效的门诊选择,用于管理反复复发的膜液. 它们提供了与替代品相比的症状控制和生活质量,改善了患者的满意度和降低了医疗保健成本.
科学领域:
- 肺部病理学 肺部病理学
- 抚慰性护理是一种缓解性护理.
- 医疗器械 医疗器械
背景情况:
- 经常出现的多叶膜溢出是常见的,特别是恶性多叶膜溢出.
- 传统的治疗方法,比如滑石斑膜,也有其局限性.
- 越来越多地强调以患者为中心的结果,而不是传统的成功指标.
研究的目的:
- 评估用于治疗复发性流的内腔导管 (IPC) 的疗效和以患者为中心的结果.
- 为了比较IPCs与替代治疗方法,如塔尔克腹症.
- 评估IPC的安全性,满意度和成本效益.
主要方法:
- 对多项随机对照试验的审查,将IPC与其他干预措施进行比较.
- 分析以患者为中心的结果,包括症状控制和生活质量.
- 评估并发症率,住院时间和医疗费用.
主要成果:
- 尽管囊炎发病率较低,但IPC的症状控制和生活质量与囊炎发病率相比较.
- IPCs显著减少了住院住院和重复干预的需要.
- 患者满意度很高,可接受的并发症率低,在特定的患者群体中具有成本效益.
结论:
- 住院膜导管被推作为一线治疗复发性膜喷液,特别是恶性膜喷液.
- IPC提供了一种安全,有效和门诊的管理选择,优先考虑患者的偏好.
- 目前的临床指南主张根据患者的需求和优先事项提供IPC.
相关概念视频
Endoscopic Studies II: Thoracocentesis
206
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
206
Endocarditis IV: Nursing Management
2
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
2
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
102
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
102
Pleura of the Lungs
1.6K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
1.6K
Endocarditis I: Introduction
2
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
2
Pleural Disorders: Types and Brief Description
183
The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
183


