在紧急 laparoscopic 尾切除术之前,小组和保存测试的作用
Vinita Chaudhari1, Hossain Mohammad1, Umair Khan1
1General Surgery, United Lincolnshire Hospitals Trust, Lincoln, GBR.
Cureus
|January 1, 2025
概括
常规的手术前组和保存 (G&S) 血液检查对于紧急腹腔镜尾切除术往往是不必要的. 我们的研究发现不需要输血,这表明G&S测试耗费资源而没有提高患者安全.
科学领域:
- 在外科手术实践中.
- 在手术前进行评估.
- 医疗保健资源管理 医疗保健资源管理
背景情况:
- 常规的手术前组和保存 (G&S) 血液检查是紧急腹腔镜尾切除术的标准.
- 腹腔镜手术的进步降低了手术内出血的风险.
研究的目的:
- 评估在紧急腹腔镜尾切除术中进行常规G&S测试的必要性和影响.
- 评估当前G&S测试协议对资源的影响和患者安全.
主要方法:
- 在一年内分析了276例紧急尾切除病例.
- 对手术内出血并发症和输血要求的审查.
- 评估与G&S测试相关的财务和资源压力.
主要成果:
- 在研究的病例中,由于手术并发症,不需要输血.
- 常规的G&S测试消耗了宝贵的时间和资源.
- 这种做法导致了巨大的财务和资源压力.
结论:
- 在这种情况下,例行G&S测试可能不具有成本效益或不必要.
- 对手术前检测策略进行重新评估是有必要的.
- 对高风险患者进行有针对性的G&S测试可以优化资源管理,同时保持安全.
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