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非气管插管胸腔手术术中危机管理。

Management of Intraoperative Crisis During Nonintubated Thoracic Surgery.

机构信息

Anesthesiology Department and Surgical Critical Care Unit, Hospital General Universitario de Alicante, C/Pintor Baeza no. 12, Alicante 03010, Spain.

Anesthesiology Department and Surgical Critical Care Unit, Hospital General Universitario de Alicante, C/Pintor Baeza no. 12, Alicante 03010, Spain.

出版信息

Thorac Surg Clin. 2020 Feb;30(1):101-110. doi: 10.1016/j.thorsurg.2019.08.009.

Abstract

Nonintubated video-assisted thoracoscopic surgery programs have gradually spread all over the world. The benefits are based on less invasiveness and earlier recovery. However, complications may appear. For the correct prevention and management of all these potentially critical situations, the principles of crisis resource management (CRM) must be followed. They should also include clinical simulation as a tool to generate different scenarios to improve teamwork. The purpose of this special issue is to appraise and summarize the design, implementation, and efficacy of simulation-based CRM training programs for a specific surgery, including the management of specific surgical and medical critical scenarios.

摘要

非插管视频辅助胸腔镜手术项目已在全球范围内逐渐普及。其优势在于创伤较小和恢复更快。然而,可能会出现并发症。为了正确预防和处理所有这些潜在的危急情况,必须遵循危机资源管理(CRM)原则。这些原则还应包括临床模拟,作为生成不同场景以改善团队合作的工具。本期特刊的目的是评估和总结基于模拟的 CRM 培训计划在特定手术中的设计、实施和效果,包括特定手术和医疗危急情况的管理。

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