Gechev A, Kane N M, Koltzenburg M, Rao D G, van der Star R
West Hertfordshire Hospitals, Royal Free Hospital, London NW3 2QC, UK.
Grey Walter Department of Clinical Neurophysiology, Southmead Hospital, Bristol BS10 5NB, UK.
Clin Neurophysiol Pract. 2016 Oct 13;1:62-66. doi: 10.1016/j.cnp.2016.09.003. eCollection 2016.
Nerve conduction and electromyography studies are generally well tolerated and pose little risk to patients of serious adverse events in the hands of a well-trained competent practitioner. However, some patients and certain examinations do carry a higher risk of potential complications. It is good medical practice to inform patients of any risks, their potential severity and relative frequency. In order to obtain informed consent a dialogue should take place about the nature, purpose and effects of the studies, so patients can decide if they wish to undergo the proposed investigation. In this educational review we identify those procedures and patients at risk, and provide pragmatic practice recommendations for managing these material risks.
在训练有素、能力胜任的从业者操作下,神经传导和肌电图检查通常耐受性良好,对患者造成严重不良事件的风险很小。然而,一些患者和某些检查确实存在较高的潜在并发症风险。告知患者任何风险、其潜在严重程度和相对频率是良好的医疗实践。为了获得知情同意,应该就检查的性质、目的和效果进行对话,以便患者能够决定是否愿意接受拟议的检查。在这篇教育综述中,我们确定了那些有风险的检查程序和患者,并提供了管理这些重大风险的实用实践建议。