Oldeen Molly E, Angona Ronald E, Hodge Ashley, Klein Tom
Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Strong Memorial Hospital, Box Surg/Cardiac, University of Rochester Medical Center, Rochester, New York; Cardiothoracic Surgery, The Heart Center, Nationwide Children's Hospital, Columbus, Ohio; and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
J Extra Corpor Technol. 2020 Dec;52(4):319-326. doi: 10.1182/ject-2000045.
The development of standards and guidelines by professional societies offers clinicians guidance toward providing evidence-based care. The ultimate goals of standards and guidelines are to standardize care and improve patient safety and outcomes while also minimizing risk. The American Society of ExtraCorporeal Technology (AmSECT) currently offers perfusionists several clinical resources, primarily the ; however, no document exists specific to pediatric perfusion. Historically, the development of a pediatric-specific document has been limited by available scientific evidence because of smaller patient populations, sample sizes, and variable techniques among congenital perfusionists. In the current setting of evolving clinical practices and increasingly complex cardiac operations, a subcommittee of pediatric perfusionists developed the . The development process included a comprehensive literature review for supporting evidence to justify new recommendations or updates to the existing AmSECT Adult Standards and Guidelines document. Multiple revisions incorporating feedback from the community led to a finalized document accepted by the AmSECT member and made available electronically in May 2019. The is an essential tool for pediatric perfusionists, serves as the backbone for institutionally based protocols, promotes improved decision-making, and identifies opportunities for future research and collaboration with other disciplines. The purpose of this article is to summarize the process of development, the content, and recommended utilization of AmSECT's AmSECT recommends adoption of the to reduce practice variation and enhance clinical safety.
专业协会制定的标准和指南为临床医生提供了循证护理的指导。标准和指南的最终目标是规范护理，提高患者安全性和治疗效果，同时将风险降至最低。美国体外技术协会（AmSECT）目前为灌注师提供了多种临床资源，主要是 ；然而，尚无专门针对儿科灌注的文件。从历史上看，由于儿科患者群体较小、样本量有限以及先天性心脏病灌注师之间技术各异，制定特定于儿科的文件一直受到现有科学证据的限制。在当前临床实践不断发展且心脏手术日益复杂的背景下，儿科灌注师小组委员会制定了 。制定过程包括全面的文献综述，以寻找支持新建议或更新现有AmSECT成人标准和指南文件的证据。结合社区反馈进行的多次修订形成了一份最终文件，该文件于2019年5月被AmSECT成员接受并以电子形式发布。 是儿科灌注师的重要工具，是基于机构的方案的支柱，促进更好的决策制定，并确定未来研究以及与其他学科合作的机会。本文的目的是总结AmSECT的 的制定过程、内容和推荐的使用方法。AmSECT建议采用 以减少实践差异并提高临床安全性。
