Chadha Ryan M, Crouch Cara, Zerillo Jeron, Pretto Ernesto A, Planinsic Raymond, Kim Sang, Nicolau-Raducu Ramona, Adelmann Dieter, Elia Elia, Wray Christopher L, Srinivas Coimbatore, Mandell M Susan
1 Mayo Clinic Florida, Jacksonville, FL, USA.
2 University of Colorado Hospital, Aurora, CO, USA.
Semin Cardiothorac Vasc Anesth. 2017 Dec;21(4):352-356. doi: 10.1177/1089253217737043. Epub 2017 Oct 13.
The anesthesia community has openly debated if the care of transplant patients was generalist or specialist care ever since the publication of an opinion paper in 1999 recommended subspecialty training in the field of liver transplantation anesthesia. In the past decade, liver transplant anesthesia has become more complex with a sicker patient population and evolving evidence-based practices. Transplant training is currently not required for accreditation or certification in anesthesiology, and not all anesthesia residency programs are associated with transplant centers. Yet there is evidence that patient outcome is affected by the experience of the anesthesiologist with liver transplants as part of a multidisciplinary care team. Requests for a formal review of the inequities in training opportunities and requirements led the Society for the Advancement for Transplant Anesthesia (SATA) to begin the task of developing post-graduate fellowship training recommendations. In this article, members of the SATA Working Group on Transplant Anesthesia Education present their reasoning for specialized education and conclusions about which pathways can better prepare trainees to care for complex transplant patients.
自1999年发表一篇意见书建议在肝移植麻醉领域进行亚专业培训以来，麻醉学界就一直在公开辩论对移植患者的护理究竟属于全科护理还是专科护理。在过去十年中，随着患者病情加重以及循证实践的不断发展，肝移植麻醉变得更加复杂。目前，麻醉学的认证或资质认定并不要求有移植培训经历，而且并非所有麻醉住院医师培训项目都与移植中心有合作。然而，有证据表明，作为多学科护理团队的一部分，麻醉医生进行肝移植的经验会影响患者的治疗结果。由于有人要求对培训机会和要求方面的不公平现象进行正式审查，移植麻醉促进协会（SATA）开始着手制定研究生 fellowship培训建议。在本文中，SATA移植麻醉教育工作组的成员阐述了他们支持专门教育的理由，以及关于哪些途径能够更好地让受训人员做好护理复杂移植患者准备的结论。
