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实施小儿肺栓塞反应团队模式:机构经验。

Implementing a Pediatric Pulmonary Embolism Response Team Model: An Institutional Experience.

机构信息

Department of Pediatrics, Division of Critical Care Medicine, Texas Children's Hospital and Baylor College of Medicine, Houston, TX.

Department of Pediatrics, Division of Critical Care Medicine, Texas Children's Hospital and Baylor College of Medicine, Houston, TX.

出版信息

Chest. 2024 Jan;165(1):192-201. doi: 10.1016/j.chest.2023.07.027.

Abstract

Pulmonary embolism is increasing in prevalence among pediatric patients; although still rare, it can create a significant risk for morbidity and death within the pediatric patient population. Pulmonary embolism presents in various ways depending on the patient, the size of the embolism, and the comorbidities. Treatment decisions are often driven by the severity of the presentation and hemodynamic effects; severe presentations require more invasive and aggressive treatment. We describe the development and implementation of a pediatric pulmonary embolism response team designed to facilitate rapid, multidisciplinary, data-driven treatment decisions and management.

摘要

肺栓塞在儿科患者中的发病率正在增加;尽管仍然很少见,但它可能会给儿科患者带来重大的发病和死亡风险。肺栓塞的表现因患者、栓塞的大小和合并症的不同而有所不同。治疗决策通常取决于表现的严重程度和血液动力学的影响;严重的表现需要更具侵入性和更积极的治疗。我们描述了一个儿科肺栓塞反应团队的开发和实施,旨在促进快速、多学科、数据驱动的治疗决策和管理。

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