评估一个虚拟的多学科气管切除术会议为病房的患者
Hannah B Tan1, Matthew Yii1, Jessica Prasad1
1Department of Otolaryngology, The Alfred Hospital, Melbourne, Victoria, Australia.
ANZ journal of surgery
|February 12, 2025
概括
虚拟气管切除多学科会议 (MDM) 并没有缩短脱管时间,并且可能会延迟与传统ICU领导的团队相比. 虚拟MDM可能适合缺乏实体ICU专业知识的设置.
科学领域:
- 密集护理医学 密集护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
背景情况:
- 气管切除术是在重症监护室 (ICU) 进行长时间输管治疗的常见手术.
- 多学科团队 (MDTs) 在ICU后管理气管切除患者.
- 实施了一个虚拟气管切除多学科会议 (V-MDM),以标准化病房护理.
研究的目的:
- 评估虚拟气管切除多学科会议 (V-MDM) 对患者护理的影响.
- 为了比较V-MDM和没有V-MDM管理的患者之间的脱时间.
主要方法:
- 在第三级医院的病房式气管切除术患者的回顾性审查.
- 两个组的比较:V-MDM前 (外展) 和V-MDM后 (虚拟气管切除术MDM).
- 主要结局:从ICU释放到脱的时间.
主要成果:
- 与外展组 (65名患者) 相比,V-MDM组 (44名患者) 显示了更长的中位数时间来解化.
- 观察到从ICU出院到脱的中位时间 (P=0.007) 和整体脱时间 (P=0.029) 的显著差异.
- 在整体住院时间或不良事件发生率方面没有发现显著差异.
结论:
- 实施虚拟气管切除术MDM可能无法改善,并可能延迟脱管时间.
- 虚拟MDM可能在个体ICU领导的气管管切除团队不可行的情况下有益.
- 可能需要进一步的研究来优化虚拟多学科的方法来治疗气管切除术.
关键词:
重症监护病房的重症监护病房是一个重症监护病房.这是一个多学科会议.气管修复术 (tracheostomy) 是一种呼吸道修复术.虚,虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚,更多相关视频
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