影响紧急气管切除术时间至OR的因素:一个范围审查
Raisa Chowdhury1, Jacob G J Wihlidal2, Yvonne Chan2,3
1Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Ear, nose, & throat journal
|November 7, 2025
概括
紧急气管切除术在气道紧急情况中的延迟往往是由于机构障碍,如手术室的准入和人员配置. 标准化协议和快速响应团队等策略可以改善患者的治疗结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术重症监护手术重症监护
- 卫生系统研究 卫生系统研究
背景情况:
- 紧急气管切除术对于呼吸道阻塞管理至关重要.
- 紧急气管切除术的延迟可能会导致患者的不良结果.
- 制度和系统层面的因素对及时的气道干预有重大影响.
研究的目的:
- 确定导致紧急气管切除术延迟的因素.
- 综合策略,以减轻气道紧急情况的延迟.
主要方法:
- 进行了全面的范围审查.
- 在多个数据库 (MEDLINE,Embase,Scopus,Web of Science,Google Scholar) 进行了搜索,截至2024年6月.
- 包括因恶性瘤或感染而接受紧急气管切除术的成年患者,但不包括其他导致气道阻塞的原因.
主要成果:
- 包括3项涉及531名患者的研究.
- 常见的症状包括呼吸障碍和;迹象是恶性瘤和深部感染.
- 延误源于手术室准入,人员配备和协调问题. 并发症的发生率在8%至28%之间.
结论:
- 针对恶性瘤或感染的紧急气管切除术是时间敏感的.
- 制度障碍对程序延迟有很大的影响.
- 标准化协议,人员改进,模拟培训和快速响应团队是改善准备和结果的关键策略.
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