腹腔大动脉气球塞在盆腔和圣座瘤切除:一个基于专家的德尔菲共识共识
Zhiqing Zhao1, Wei Wang1, Bing Wang1
1Department of Orthopedics, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing, China.
概括
在盆腔瘤手术期间大量出血是一个挑战. 本研究为腹腔大动脉气球封闭 (AABO) 制定了指导方针,以提高手术安全性并规范其使用.
科学领域:
- 在瘤学瘤学.
- 血管外科 血管外科
- 麻醉学 麻醉学
背景情况:
- 大规模出血是骨盆和分骨瘤切除的关键挑战.
- 腹腔大动脉气球阻塞 (AABO) 越来越多地用于控制手术内出血.
- 目前,在这种外科背景下,对AABO缺乏标准化的协议.
研究的目的:
- 建立基于专家的指导方针,用于AABO在骨盆和圣座瘤切除中的应用.
- 为了标准化AABO程序,提高外科安全.
- 为这个领域的未来研究提供一个框架.
主要方法:
- 采用了三轮的德尔菲共识过程.
- 在德尔菲进程之前,进行了一次全面的文献审查.
- 共识被定义为来自中国19个地区的43名专家之间≥85%的共识.
主要成果:
- 在与AABO相关的11个关键变量上达成共识.
- 这些变量包括指示,禁忌,老年患者的安全性,手术前准备和气球放置.
- 进一步的共识涵盖了AABO程序,闭塞持续时间,并发症管理,血栓治疗和监测.
结论:
- 德尔菲共识为AABO在盆腔和分骨瘤手术中提供了一个标准化的框架.
- 实施这些指导方针可以提高外科安全.
- 这种共识将指导AABO在这个专业领域的未来研究和临床实践.
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