From the Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.
Anesth Analg. 2024 Apr 1;138(4):713-724. doi: 10.1213/ANE.0000000000006789. Epub 2023 Dec 28.
In November of 2022, the Anesthesia Patient Safety Foundation held a Consensus Conference on Hemodynamic Instability with invited experts. The objective was to review the science and use expert consensus to produce best practice recommendations to address the issue of perioperative hemodynamic instability. After expert presentations, a modified Delphi process using discussions, voting, and feedback resulted in 17 recommendations regarding advancing the perioperative care of the patient at risk of, or with, hemodynamic instability. There were 17 high-level recommendations. These recommendations related to the following 7 domains: Current Knowledge (5 statements); Preventing Hemodynamic Instability-Related Harm During All Phases of Care (4 statements); Data-Driven Quality Improvement (3 statements); Informing Patients (2 statements); The Importance of Technology (1 statement); Launch a National Campaign (1 statement); and Advancing the Science (1 statement). A summary of the recommendations is presented in Table 1 .
2022 年 11 月,麻醉患者安全基金会召集了特邀专家举行了一场关于血流动力学不稳定的共识会议。目的是回顾科学知识,并利用专家共识制定最佳实践建议,以解决围手术期血流动力学不稳定的问题。在专家演讲之后,采用讨论、投票和反馈的改良 Delphi 流程,提出了 17 条关于在围手术期为有或处于血流动力学不稳定风险的患者提供更好的护理的建议。其中有 17 条高级别建议。这些建议涉及以下 7 个领域:当前知识(5 条陈述);在所有护理阶段预防与血流动力学不稳定相关的伤害(4 条陈述);数据驱动的质量改进(3 条陈述);告知患者(2 条陈述);技术的重要性(1 条陈述);开展全国运动(1 条陈述);以及推进科学研究(1 条陈述)。建议概述见表 1。