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宫内输血中的关键程序步骤:对国际专家的德尔菲调查

E Moise^1,2, K J Moise^1,2, M Nwokocha²

¹Department of Women's Health, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology

|January 1, 2025

概括

这项德尔菲调查确定了用于治疗胎儿贫血的血管内输血 (IUT) 的20个关键步骤,旨在标准化该程序. 专家们强调了经验丰富的从业人员和特定协议对于改善结果的重要性.

科学领域:

孕产妇和胎儿医学孕产妇和胎儿医学
干预性围产科干预性围产科
胎儿外科手术胎儿外科

背景情况:

胎儿贫血存在重大风险,需要有效的治疗策略.
血管内子宫内输血 (IUT) 是治疗胎儿贫血的一个关键干预措施.
IUT程序的标准化对于优化患者结果至关重要.

研究的目的:

通过使用德尔菲方法论,就血管内子宫内输血 (IUT) 的关键程序步骤达成共识.
通过IUT识别安全有效治疗胎儿贫血的基本组成部分.
为国际专家提供执行IUT的标准指南.

主要方法:

一个由两部分组成的国际德尔菲调查,涉及胎儿干预专家.
通过使用利克尔特尺度 (1-5) 评分32个拟议的程序步骤.
分析平均分数和置信区间以确定关键步骤;随后在第二轮中针对性问题.

主要成果:

来自24个国家的49名专家参加了会议.
在32个拟议的程序步骤中,有20个被确定为关键步骤.
在执行血液制备,麻醉和手术后护理等关键步骤中发现了显著的差异.
制定了培训 (20个程序) 和能力维护 (每年10个程序) 的建议.

结论:

德尔菲调查为标准化血管内子宫内输血 (IUT) 程序提供了基础.
经验丰富的胎儿干预医生对于进行IUT至关重要.
对于不常见的IUT提供者,建议转介到高体积中心.
计算输血量和持续监测胎儿心率是排名最高的关键步骤.

关键词:

德尔菲的调查调查.IUTUT 这是一个很好的方法.腹膜内输血输血是什么意思子宫内输血输血子宫内输血.血管内输血输血血管内输血输血

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