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促进以循证医学方法管理胸膜腔的共识定义。ESTS、AATS、STS 和 GTSC 的合作提案。

Consensus definitions to promote an evidence-based approach to management of the pleural space. A collaborative proposal by ESTS, AATS, STS, and GTSC.

机构信息

Division of Thoracic Surgery, Ospedali Riuniti Ancona, Via Conca 71, Ancona 60127, Italy.

出版信息

Eur J Cardiothorac Surg. 2011 Aug;40(2):291-7. doi: 10.1016/j.ejcts.2011.05.020.

DOI:10.1016/j.ejcts.2011.05.020
PMID:21757129
Abstract

The present project involved a collective effort agreed by the European Society of Thoracic Surgeons, the American Association for Thoracic Surgery, the Society of Thoracic Surgeons, and the General Thoracic Surgery Club to assemble a joint panel of experts to review the available data and address ambiguous aspects of chest tube definitions and nomenclature. The task force was composed of 11 invited participants, identified for their expertise in the area of chest tube management. The subject was divided in different topics, which were in turn assigned to at least two experts. The draft reports written by the experts on each topic were distributed to the entire expert panel, and comments solicited in advance of the meetings. During the meetings, the drafts were reviewed, discussed, and agreed on by the entire panel. Standardized definitions and nomenclature were proposed for the following topics related to chest tube management: pleural and respiratory mechanics after pulmonary resection; external suction versus no external suction; fixed versus variable suction; objective air leak evaluation; objective fluid drainage evaluation; and chest drain: type, number, and size. A standardized set of definitions and nomenclature were proposed to set a scientifically based framework with which to evaluate existing studies and to more clearly formulate questions, parameters, and outcomes for future studies.

摘要

本项目涉及欧洲胸外科协会、美国胸外科学会、胸外科医生学会和普通胸外科医师学会的共同努力,他们同意召集一个联合专家组,审查现有数据并解决胸腔引流管定义和命名方面的模糊问题。专家组由 11 名受邀专家组成,他们在胸腔引流管管理领域具有专业知识。该主题被分为不同的专题,然后至少分配给两名专家负责。每位专家就每个专题撰写的报告草案分发给整个专家组,并在会议前征求意见。在会议期间,专家组全体成员对草案进行了审查、讨论和商定。提出了与胸腔引流管管理相关的以下专题的标准化定义和命名:肺切除术后的胸膜和呼吸力学;是否使用外部吸引;固定吸引与可变吸引;客观漏气评估;客观液体引流评估;和胸腔引流管:类型、数量和大小。提出了一套标准化的定义和命名,为评估现有研究和更明确地为未来研究制定问题、参数和结果建立了一个基于科学的框架。

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