指胸切除术:在医院前的环境中存在重大风险和未经证实的益处
Yael Mozer-Glassberg1,2, Irina Radomislensky3,4, Avi Benov4,5
1Institute of Pediatric Gastroenterology, Nutrition and Liver Diseases, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
在医院前创伤护理中,指胸切除术 (FT) 显示出混合的结果和潜在的并发症. 坚持以证据为基础的协议对于避免风险和确保最佳患者管理至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 在医院前的护理.
背景情况:
- 创伤是可预防死亡的主要原因,特别是在医院前的环境中.
- 胸部排水干预非常重要,但缺乏明确的指示和严格的研究.
- 指胸切除术 (FT) 是一项具有已知的风险的有争议的紧急肺部解压技术.
研究的目的:
- 检查手指胸腔切除术 (FT) 在战前医院环境中的应用和结果.
- 评估由军事医疗提供者执行的FT手术所带来的挑战和风险.
主要方法:
- 八个手指胸腔切除 (FT) 程序的回顾性审查.
- 在2023-2024年加沙"铁剑"战争期间,以色列国防军提供者执行了程序.
- 分析患者的结果和程序并发症.
主要成果:
- 患者遭受了严重的穿透性伤害,结果各不相同.
- 一个病例导致严重并发症,包括感染和.
- 发现了遵守协议的挑战和未经授权的即兴表演.
结论:
- 有限的证据质疑FT在医院前创伤护理中的有效性.
- 坚持经过验证,基于证据的协议对于患者安全和标准化护理至关重要.
- 需要进一步的研究来确定FT在医院前创伤管理中的作用.
更多相关视频
08:50Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
相关概念视频
Endoscopic Studies II: Thoracocentesis
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...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Oxygen Delivering System III: Tracheostomy and T-piece
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy: Procedure and Tubes
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Tracheostomy Care I: Pre-procedural Steps
Required Equipment
The equipment necessary for tracheostomy care includes:
