什么是确保胸部排水的最佳方法? 一个范围审查审查
Chit Wong1, Joshua Wright2, Francesco Luke Siena2
1Nottingham University Hospitals NHS Trust, UK.
Journal of the Intensive Care Society
|February 2, 2026
概括
确保肋间胸间排水管 (ICD) 非常重要,因为移位是常见的. 这次审查确定了九个固定原则,表明或组合技术可以提高ICD安全性并减少脱落风险.
科学领域:
- 医疗器械 医疗器械
- 手术技巧 手术技巧
- 患者安全 患者安全
背景情况:
- 在英国,每年每年插入大约3万个肋间间胸部排水管 (ICD).
- ICDs的移位是常见的并发症,影响患者的治疗结果.
- 目前的固定方法缺乏普遍接受的黄金标准.
研究的目的:
- 系统地识别和分类保护ICD的方法.
- 为了确定与各种固定技术相关的ICD脱落的频率.
- 为未来的研究和临床实践提供有关最佳ICD固定的信息.
主要方法:
- 对三个主要数据库 (MEDLINE,PubMed,CENTRAL) 进行了全面的范围审查.
- 搜索策略包括相关术语和布尔运算符来识别ICD固定的出版物.
- 在应用纳入标准后,从最初的5275个确定中包含了63个记录.
主要成果:
- 九个不同的ICD固定原理被确定和分类.
- 常见的方法往往结合了多个固定原理.
- 趋势表明接,或像接与带或电缆领带这样的组合,可能会提高安全性.
结论:
- 根据目前的证据,没有一种单一的ICD固定方法是绝对优越的.
- 需要进一步的研究来比较固定方法关于移位,疼痛和感染.
- 经过修改的乔伯格结在实验室环境中表现出高拉力,需要进一步调查.
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