中东国家接受心脏手术的患者的患者血液管理:多中心调查调查
Ahmed Abdalwahab1,2, Ahmed Abuzaid2, Hossam Walley3
1Department of Anaesthesia, Faculty of Medicine, Cairo University, Cairo, Egypt.
Saudi journal of anaesthesia
|September 25, 2025
概括
中东心脏外科手术中的患者血液管理 (PBM) 实践存在显著差异. 标准化的协议和改进的培训对于在整个地区一致的PBM实施和患者护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 中东的心脏手术中心展示了各种患者血液管理 (PBM) 策略.
- 实施标准化PBM计划的挑战阻碍了最佳的患者护理.
研究的目的:
- 在九个中东国家的心脏手术中划分和比较PBM方法.
- 确定阻碍区域心脏手术中心PBM计划实施的关键挑战.
主要方法:
- 一项在线调查评估了目前的PBM实践,包括出血风险因素,贫血管理和抗纤维解毒剂的使用.
- 中东国家的心脏麻醉医生参与了2024年的调查.
主要成果:
- 确定的主要出血风险因素包括重复手术,贫血,血小板减少和抗凝药.
- 手术前的贫血常常用铁治疗;特兰胺酸在各种治疗方案中普遍使用.
- 粘弹性测试在大多数中心可用,并用于临床出血管理.
结论:
- 中东心脏中心的PBM实践异构,采用不一致的指南.
- 标准化需要加强培训,机构支持和统一的国家协议.
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