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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
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2024年英国的局部麻醉胸腔镜实践:2024年英国的局部麻醉胸腔镜实践:快照调查
Richard Westley1, Avinash Aujayeb2, Rahul Bhatnagar3,4,5
1Department of Respiratory Medicine, Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK, richard.westley3@nhs.net.
概括
在英国,局部麻醉胸腔镜 (LAT) 是对不明原因的多叶流液的首选检查方法. 然而,实践在很大程度上有所不同,这凸显了在这个关键的诊断程序中需要国家标准的需要.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 医疗程序 医疗程序
背景情况:
- 局部麻醉胸腔镜 (LAT) 是英国常见的一种诊断无法解释的排泄性多流的手术.
- 目前对于LAT缺乏国家标准,不同中心的实践差异很大.
- 上一次对英国LAT实践的全面调查是在2017年进行的.
研究的目的:
- 评估当前英国对局部麻醉胸腔镜 (LAT) 的实践模式.
- 识别英国各中心LAT程序,患者管理和资源可用性的变化.
- 提供支持制定国家LAT指导方针和标准的数据.
主要方法:
- 一项电子调查分发给英国脏协会 (UKPS) 成员和已知的LAT执行中心.
- 该调查收集了关于LAT频率,受过培训的从业人员数量,专门列表的使用和患者管理协议的数据.
- 此外,还收集了关于前期药物治疗,抗生素使用,液体给药以及LAT的指示的数据.
主要成果:
- LAT仍然是未诊断的排泄性肺溢液的主要调查,87%的响应中心使用它.
- 训练有素的胸腔镜师的数量和专用LAT列表的频率存在显著差异.
- 虽然大多数中心使用镇静剂 (95%),但对于例行患者入院后 (51%),抗生素给药 (81%不使用) 和胸部手术支持 (30%在现场进行) 的做法有很大差异.
结论:
- 在英国各中心的局部麻醉胸腔镜 (LAT) 实践中存在很大差异.
- 这些发现强调了建立最佳实践和标准化LAT程序的迫切需要.
- 这些调查结果将为制定LAT国家和国际标准的努力提供信息,包括结果报告.
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