对于新生儿的舌结管理途径的完成周期审计
Alicia Wong1, Manuela Cresswell2, Mihiar Atfeh2
1Ear, Nose, and Throat, University Hospitals Plymouth NHS Trust, Plymouth, GBR.
Cureus
|November 4, 2025
概括
标准化舌带转介途径显著改善了转介的适当性,并在三个月以下的婴儿中增加了法轮切除率. 这项质量改进倡议通过及时释放舌带,提高婴儿养结果.
科学领域:
- 儿科外科手术 儿科外科手术
- 改善医疗保健的质量.
- 婴儿养障碍 婴儿养障碍
背景情况:
- 舌 (舌) 经常导致婴儿的食困难.
- 在2015-2016年实施了一个标准化的转诊途径,用于法轮切除术 (舌带释放).
- 本研究提出了对该途径在三个月以下的婴儿有效性的第二周期审计.
研究的目的:
- 评估已建立的舌带转诊途径的适当性和有效性.
- 评估推质量和干预率在路径实施后的变化.
- 确定在舌头带婴儿的转诊过程中需要进一步改进的领域.
主要方法:
- 在2019年1月至2023年12月期间,对310名转诊患者进行了回顾性病例说明审查.
- 从电子和纸质记录中收集的数据.
- 评估推来源,形式使用,布里斯托尔舌头评估工具 (BTAT) 的使用率和法轮切除率.
主要成果:
- 在最后的审计周期中,推形式完成率达到了73.2%.
- 瘤手术率从前途的53%增加到最后周期的95.9%.
- 观察到更好的转诊适当性和指示与ENT发现之间的相关性.
结论:
- 舌带推途径是有效和适当的,导致更准确的推和更高的干预率.
- 增强的机会包括前期更新和社区推者的进一步教育.
- 为了保持一致性,建议与电子系统集成和未来的审查.
相关概念视频
Assessment of the Mouth
1.1K
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
1.1K
Cardiopulmonary Resuscitation II: ACLS Airway Management
509
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
509
Suctioning the Nasopharyngeal Airway
2.9K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
2.9K
Suctioning the Oropharyngeal Airway
777
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
777
Endotracheal Tube Extubation
3.5K
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
3.5K
Tracheostomy Decannulation
1.1K
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
1.1K


