混合手术室中风险的成功管理。

Successful management of risk in the hybrid OR.

作者信息

Childs Shannon, Bruch Paul

出版信息

AORN J. 2015 Feb;101(2):223-34; quiz 235-7. doi: 10.1016/j.aorn.2014.04.020.

DOI:10.1016/j.aorn.2014.04.020

Abstract

The advent of intraoperative magnetic resonance imaging (MRI) surgery has resulted in numerous advances in minimally invasive procedures. This progress has also revealed serious environmental hazards for the patient and perioperative team. At one facility, implementation of an MRI/OR intervention suite has enhanced surgical care and outcomes. Achieving the benefits of intraoperative MRI can occur with a multidisciplinary, interdepartmental approach to the design and layout of the hybrid environment and through implementation of education and safety protocols, including patient screening and prep for scanning. Personnel, including perioperative nurses, must receive expert hands-on training to successfully mitigate risk and provide care in the hybrid OR setting.

摘要

术中磁共振成像（MRI）手术的出现推动了微创手术的诸多进展。这一进展也揭示了对患者和围手术期团队的严重环境危害。在一家机构，实施MRI/手术室干预套件改善了手术护理和结果。通过采用多学科、跨部门的方法来设计和布局混合环境，并实施教育和安全协议，包括患者筛查和扫描准备，可以实现术中MRI的益处。包括围手术期护士在内的工作人员必须接受专业的实践培训，以成功降低风险并在混合手术室环境中提供护理。