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白内障手术前评估:SEDAR 工作组的建议。

Pre-anaesthesia assessment in cataract surgery: Recommendations from the SEDAR Working Group.

机构信息

Servicio de Anestesia, Hospital Universitario de La Princesa, Madrid, Spain.

Servicio de Anestesia, Hospital Universitario La Paz, Madrid, Spain.

出版信息

Rev Esp Anestesiol Reanim (Engl Ed). 2024 May;71(5):403-411. doi: 10.1016/j.redare.2024.02.029. Epub 2024 Feb 28.

DOI:10.1016/j.redare.2024.02.029
PMID:38428679
Abstract

INTRODUCTION AND OBJECTIVES

Cataract surgery is one of the most common procedures in outpatient surgery units. The use of information and communication technologies (ICT) in clinical practice and the advent of new health scenarios, such as the Covid pandemic, have driven the development of pre-anaesthesia assessment models that free up resources to improve access to cataract surgery without sacrificing patient safety. The approach to cataract surgery varies considerably among public, subsidised and private hospitals. This raises the need for guidelines to standardise patient assessment, pre-operative tests, management of background medication, patient information and informed consent.

RESULTS

In this document, the SEDAR Clinical Management Division together with the Major Outpatient Surgery Division SEDAR Working Group put forward a series of consensus recommendations on pre-anaesthesia testing based on the use of ITCs, health questionnaires, patient information and informed consent supervised and evaluated by an anaesthesiologist.

CONCLUSIONS

This consensus document will effectivise pre-anaesthesia assessment in cataract surgery while maintaining the highest standards of quality, safety and legality.

摘要

简介和目的

白内障手术是门诊外科手术中最常见的手术之一。信息和通信技术(ICT)在临床实践中的应用以及新的卫生情况的出现,如新冠疫情,推动了麻醉前评估模型的发展,这些模型释放了资源,在不牺牲患者安全的情况下改善了白内障手术的可及性。公共、补贴和私立医院的白内障手术方法差异很大。这就需要制定指南来规范患者评估、术前检查、背景药物管理、患者信息和知情同意。

结果

在本文件中,SEDAR 临床管理部门与 SEDAR 大手术部门工作组一起,根据使用信息和通信技术、健康问卷、由麻醉师监督和评估的患者信息和知情同意书,提出了一系列关于麻醉前测试的共识建议。

结论

本共识文件将使白内障手术的麻醉前评估更加有效,同时保持最高的质量、安全和合法性标准。

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Pre-anaesthesia assessment in cataract surgery: Recommendations from the SEDAR Working Group.白内障手术前评估:SEDAR 工作组的建议。
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[Spanish Society of Anaesthesia (SEDAR) guidelines for pre-anaesthesia checking procedures].[西班牙麻醉学会(SEDAR)麻醉前检查程序指南]
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Optimizing preoperative requirements for outpatient cataract surgery at the Royal Alexandra Hospital.优化罗亚尔艾利克王子医院白内障门诊手术的术前要求。
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Guidelines: Anaesthesia in the context of COVID-19 pandemic.指南:COVID-19 大流行中的麻醉。
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A randomized, controlled trial of video supplementation on the cataract surgery informed consent process.视频辅助白内障手术知情同意过程的随机对照试验
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Protocol for pragmatic randomised trial: integrating electronic health record-based behavioural economic 'nudges' into the electronic health record to reduce preoperative testing for patients undergoing cataract surgery.实用随机对照试验方案:将基于电子健康记录的行为经济学“推动”措施纳入电子健康记录,以减少接受白内障手术患者的术前检查。
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Holistic approach to pre-operative assessment for cataract patients.白内障患者术前评估的整体方法。
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A call centre and extended checklist for pre-screening elective surgical patients – a pilot study.一个用于预筛选择期手术患者的呼叫中心和扩展检查表——一项试点研究。
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