Suppr超能文献

美国体外技术学会:儿科和先天性灌注实践标准与指南的制定(2019年)

American Society of ExtraCorporeal Technology: Development of Standards and Guidelines for Pediatric and Congenital Perfusion Practice (2019).

作者信息

Oldeen Molly E, Angona Ronald E, Hodge Ashley, Klein Tom

机构信息

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.

出版信息

J Extra Corpor Technol. 2020 Dec;52(4):319-326. doi: 10.1182/ject-2000045.

Abstract

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.

摘要

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。

相似文献

2
American Society of ExtraCorporeal Technology: Development of Standards and Guidelines for Pediatric and Congenital Perfusion Practice (2019).
World J Pediatr Congenit Heart Surg. 2021 Jan;12(1):84-92. doi: 10.1177/2150135120956938. Epub 2020 Dec 15.
4
Adult Clinical Perfusion Practice Survey: 2020 results.
J Extra Corpor Technol. 2023 Mar 24;55(1):3-22. doi: 10.1051/ject/2023002. eCollection 2023 Mar.
5
Vacuum-Assisted Venous Drainage: A 2014 Safety Survey.
J Extra Corpor Technol. 2015 Sep;47(3):160-6.
7
International Survey of Perfusion Practice for Pediatric and Congenital Heart Surgery: 2021 Results.
J Extra Corpor Technol. 2022 Dec;54(4):291-317. doi: 10.1182/ject-2200012.
8
Trial design and reporting standards for intra-arterial cerebral thrombolysis for acute ischemic stroke.
Stroke. 2003 Aug;34(8):e109-37. doi: 10.1161/01.STR.0000082721.62796.09. Epub 2003 Jul 17.
9
The future of Cochrane Neonatal.
Early Hum Dev. 2020 Nov;150:105191. doi: 10.1016/j.earlhumdev.2020.105191. Epub 2020 Sep 12.
10
The evolution of perfusion education in America.
Perfusion. 2003 Jul;18(4):257-65. doi: 10.1191/0267659103pf677oa.

引用本文的文献

1
Pre-bypass ultrafiltration reduces cytokine burden of blood prime in pediatric cardiac surgery.
Sci Rep. 2025 Aug 25;15(1):31271. doi: 10.1038/s41598-025-15746-7.
2
[Improved quality of stored packed red blood cells by mechanical rinsing].
Anaesthesiologie. 2022 Nov;71(11):882-892. doi: 10.1007/s00101-022-01189-6. Epub 2022 Aug 15.
3
Academic Perfusion at Its Best and a New Tradition.
J Extra Corpor Technol. 2020 Dec;52(4):259-260. doi: 10.1182/ject-524fte.

本文引用的文献

1
2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery.
Br J Anaesth. 2019 Dec;123(6):713-757. doi: 10.1016/j.bja.2019.09.012. Epub 2019 Oct 2.
3
Cardiopulmonary bypass prime composition: beyond crystalloids versus colloids.
Perfusion. 2019 Mar;34(2):130-135. doi: 10.1177/0267659118793249. Epub 2018 Aug 16.
5
Comparison of stored red blood cell washing techniques for priming extracorporeal circuits.
Perfusion. 2018 Mar;33(2):130-135. doi: 10.1177/0267659117730134. Epub 2017 Sep 19.
7
Postoperative Cerebral and Somatic Near-Infrared Spectroscopy Saturations and Outcome in Hypoplastic Left Heart Syndrome.
Ann Thorac Surg. 2017 May;103(5):1527-1535. doi: 10.1016/j.athoracsur.2016.09.100. Epub 2016 Dec 21.
8
NASA Model of "Threat and Error" in Pediatric Cardiac Surgery: Patterns of Error Chains.
Ann Thorac Surg. 2017 Apr;103(4):1300-1307. doi: 10.1016/j.athoracsur.2016.08.075. Epub 2016 Dec 9.
9
Retrospective analysis of eliminating modified ultrafiltration after pediatric cardiopulmonary bypass.
Perfusion. 2017 Mar;32(2):97-109. doi: 10.1177/0267659116669587. Epub 2016 Oct 5.
10
Mortality Trends in Pediatric and Congenital Heart Surgery: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database.
Ann Thorac Surg. 2016 Oct;102(4):1345-52. doi: 10.1016/j.athoracsur.2016.01.071. Epub 2016 Aug 31.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验