Timbrell David, Prabhu Pradeep
Fellow in Perioperative Medicine and Cardiopulmonary Exercise Testing, Department of Anaesthesia and Intensive Care, Royal Surrey County Hospital, Guildford, Surrey GU2 7XX.
Consultant Anaesthetist, Department of Anaesthesia and Intensive Care, Royal Surrey County Hospital, Guildford, Surrey.
Br J Hosp Med (Lond). 2018 Jun 2;79(6):341-343. doi: 10.12968/hmed.2018.79.6.341.
Decision making through multidisciplinary teams offers an opportunity to improve perioperative care for high-risk surgical patients. While multidisciplinary team decision making is commonplace in the NHS, involvement of perioperative physicians including anaesthetists and intensivists in this process is not well established. This article presents an exemplar of anaesthetic and intensivist involvement in a joint perioperative upper gastrointestinal cancer multidisciplinary team meeting at the Royal Surrey County Hospital in Guildford, UK. It is hoped that this model example and critical analysis will assist others who are interested in improving perioperative shared decision making in their units.
通过多学科团队进行决策为改善高危手术患者的围手术期护理提供了契机。虽然多学科团队决策在英国国家医疗服务体系（NHS）中很常见，但围手术期医生（包括麻醉师和重症监护医生）在此过程中的参与情况尚未得到充分确立。本文介绍了在英国吉尔福德皇家萨里郡医院举行的一次联合围手术期上消化道癌多学科团队会议中麻醉师和重症监护医生参与的一个范例。希望这个典型例子和批判性分析能帮助其他有兴趣在其单位改善围手术期共同决策的人。
