[在手术期间使用三维心声学:德国医院的调查]
Jörg Ender1, Mathias Schemberg2, Matthias Heringlake3
1Abteilung für Anästhesiologie und Intensivmedizin, Herzzentrum Leipzig GmbH, Strümpellstraße 39, 04289, Leipzig, Deutschland. joerg.ender@helios-gesundheit.de.
Die Anaesthesiologie
|August 28, 2025
概括
德国心脏外科部门的三维透食心声学 (3D-TEE) 使用落后于指导方针,认证率低,培训缺口也很大. 标准化协议和教育是改善3D-TEE采用的关键.
科学领域:
- 心脏病学
- 麻醉学
- 医学成像
背景情况:
- 在手术内和手术前的心脏手术指南中建议使用三维食道回声 (3D-TEE).
- 尽管有推,但3D-TEE的实际临床常规使用尚未被彻底研究.
研究的目的:
- 评估德国心脏外科部门的3D-TEE在手术内和手术前的使用情况.
- 评估3D-TEE在临床实践中的结构条件,设备可用性,成像方式和局限性.
主要方法:
- 在德国81个进行心脏手术的部门进行了在线调查.
- 根据麻醉师认证率和标准化图像采集协议进行了数据分析.
主要成果:
- 54%的部门完成了调查;超过一半报告TEE认证率低,82%缺乏正式的3D-TEE培训.
- 设备的可用性通常很高,但4%的设备缺乏3D功能.
- 3D-TEE经常用于TEER (91%),手术门手术 (74%) 和CABG (57%).
- 标准化协议和更高的认证率与3D-TEE使用率和感知影响的增加相关.
结论:
- 与国际指导方针相比,德国心脏外科部门的3D-TEE实施情况不佳.
- 低的认证率和缺乏培训是很大的障碍.
- 标准化的协议,教育举措和增强的设备对于改进基于指南的3D-TEE应用至关重要.
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