术前药物管理手动关键顺序为非急性成人心脏手术设置
Amanda Rea1, Rawn Salenger1,2, Michael C Grant3
1Division of Cardiac Surgery, University of Maryland St Joseph Medical Center, Towson, Md.
JTCVS open
|January 9, 2025
概括
这项研究引入了一套基于证据的顺序,用于心脏外科手术中的术前药物管理. 它标准化了最佳实践,旨在减少非紧急程序的出血和并发症.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 手术护理 手术护理
背景情况:
- 术前药物管理对于心脏手术患者至关重要.
- 现有的指南和专家共识文件提供了指导,但缺乏统一的实施工具.
- 手术前药物订单的变化持续存在,影响患者的护理.
研究的目的:
- 开发一个以证据为基础的,为非急性成人心脏手术中术前药物管理提供交钥匙订单.
- 将现有的指导方针和专家共识整合到一个标准化工具中.
- 促进在外科手术期间药物管理中一致实施最佳实践.
主要方法:
- 主题专家翻译了现有的指导方针和同行评审文献.
- 为手术前的药物管理创建了一个样本的交钥匙订单集.
- 订单根据指导强度进行分类 (粗体为I/IIA类,斜体为其他类).
主要成果:
- 持有抗血小板和抗凝药可以降低出血风险.
- 建议停止使用SGLT2抑制剂和GLP-1激动剂,以防止酸和吸收.
- 序列包括常用和不常用药物的指导.
结论:
- 一个标准化的,基于证据的订单集可以解决手术前药物管理中的差异.
- 该工具旨在改善非急性心脏手术的综合性术前药物管理.
- 实施这种订单可以提高患者的安全性和结果.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
48
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
48
01:18Drug Delivery: Enteral Route
375
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
375
01:24General Anesthesia: Overview
190
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
190
01:16Tracheostomy Care I: Pre-procedural Steps
132
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
132
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
520
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
520