关于ECLS在肺移植中的术后使用的ISHLT共识声明:第三部分:术后考虑
Archer Kilbourne Martin1, Olaf Mercier2, Brandi Bottiger3
1Division of Cardiovascular and Thoracic Anesthesiology, Mayo Clinic Florida, Jacksonville, Florida.
概括
这份共识声明提供了22条建议,用于管理接受肺移植的患者,并提供体外生命支持 (ECLS). 它解决了术后阶段的关键问题,增强了多学科团队合作.
科学领域:
- 心胸外科手术 心胸外科手术
- 关键护理医学 关键护理医学
- 移植医学 移植医学
背景情况:
- 体外生命支持 (ECLS) 越来越多地用于肺移植.
- 关于这些复杂患者的术后管理存在缺乏共识.
- 在肺移植中成功实施ECLS,多学科专业知识至关重要.
研究的目的:
- 制定关于ECLS在肺移植中的外科使用的共识声明.
- 为在肺移植期间需要ECLS的患者管理提供基于证据的建议.
- 为肺移植ECLS中多学科团队合作制定指导方针.
主要方法:
- 国际心脏和肺移植协会标准和指导方针委员会制定了一份共识声明.
- 来自各个学科的国际专家组成了分组,专注于术前,术后和术后阶段.
- 采用了结构化的Delphi方法,包括全面的文献审查,以产生建议.
主要成果:
- 进行了两轮的德尔菲共识.
- 肺移植中术后ECLS的总共22条建议达到了共识.
- 建议涵盖了术后ECLS和多学科团队管理的标准.
结论:
- 这份共识声明为需要ECLS的肺移植接受者的术后管理提供了关键的指导.
- 这22条建议为优化患者护理和结果提供了一个框架.
- 重点是术后的ECLS标准和综合的多学科团队策略.
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