住院医师在床边胸腔操作中的培训：教学医院一年的经验。
Resident physician training in bedside pleural procedures: A one-year experience at a teaching hospital.
机构信息
Divisao Cirurgia Toracica, Instituto do Coracao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Instituto do Câncer, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
出版信息
Clinics (Sao Paulo). 2024 Jun 3;79:100399. doi: 10.1016/j.clinsp.2024.100399. eCollection 2024.
BACKGROUND AND OBJECTIVE
This study aims to quantify bedside pleural procedures performed at a quaternary teaching hospital describing technical and epidemiological aspects.
MATERIALS AND METHODS
The authors retrospectively reviewed consecutive patients who underwent invasive thoracic bedside procedures between March 2022 and February 2023.
RESULTS
463 chest tube insertions and 200 thoracenteses were performed during the study period. Most procedures were conducted by 1st-year Thoracic Surgery residents, with Ultrasound Guidance (USG). There was a notable preference for small-bore pigtail catheters, with a low rate of immediate complications.
CONCLUSION
Bedside thoracic procedures are commonly performed in current medical practice and are significant in surgical resident training. The utilization of pigtail catheters and point-of-care ultrasonography by surgical residents in pleural procedures is increasingly prevalent and demonstrates high safety.
背景与目的
本研究旨在量化一家四级教学医院进行的床边胸腔程序，描述其技术和流行病学方面。
材料与方法
作者回顾性分析了 2022 年 3 月至 2023 年 2 月期间接受侵入性胸腔床边程序的连续患者。
结果
研究期间共进行了 463 例胸腔引流管插入和 200 例胸腔穿刺术。大多数程序由第一年胸外科住院医师进行，并使用超声引导（USG）。小口径猪尾导管的使用率很高，即时并发症发生率较低。
结论
床边胸腔程序在当前医疗实践中很常见，对外科住院医师培训具有重要意义。外科住院医师在胸腔操作中使用猪尾导管和即时超声检查的情况越来越普遍，且安全性高。
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