专家小组对内镜静脉采集装置的审查:益处,局限性和临床见解
在PubMed上查看摘要
概括
此摘要是机器生成的。内镜血管采集 (EVH) 设备的学习曲线是的和可变的,没有研究将特定设备与患者的结果联系起来. 基于证据的EVH设备选择需要标准化的培训和比较数据.
科学领域
- 心血管外科
- 最少的入侵性手术
- 手术技术
背景情况
- 由于技术复杂性和所需的手眼协调性,内视血管采集 (EVH) 设备对新用户来说具有的学习曲线.
- 目前对EVH的培训和指导方法不一致,导致从业人员的经验水平不同.
研究的目的
- 审查目前内收获器 (EVH) 设备的情况.
- 确定当前EVH培训和设备评估的局限性.
- 提出EVH设备和培训增强的理想属性.
主要方法
- 由具有丰富经验的10名国际EVH专家进行专家评审 (18至28年).
- 在主要数据库 (EMBASE,Cochrane,PubMed,CINAHL,Google Scholar) 的搜索中,没有发现对EVH设备的对比研究.
- 分析行业规范和白皮书,并通过对理想设备特征和培训的专家共识进行补充.
主要成果
- EVH学习曲线有很大的差异,从5-30个案例,一些研究表明即使在100个案例后,学习也是不完整的,特别是在管道损伤方面.
- 缺乏高质量的比较研究以及设备设计,机构实践和用户经验的显著变化,使得任何EVH系统的优越性都无法得出最终结论.
- 设备的选择往往受到培训背景和可用性的影响,而不是临床证据.
结论
- 目前没有研究将EVH设备特定的学习曲线与临床结果或移植质量相关联.
- 需要对EVH设备进行独立评估.
- 标准化的培训计划和强大的比较结果数据对于基于证据的EVH设备选择至关重要,优先考虑患者安全和长期的移植通透性.
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