为复杂的儿科围手术期护理带来清晰指南：支持目标导向、以患者为中心护理的新型路径的开发
Bringing Clarity to Complex Pediatric Perioperative Care: Development of a Novel Pathway to Support Goal-Directed, Patient-Centered Care.
作者信息
Lin Tiffany, Raventhiranathan Neveada, Ahmad Myra, Feit Andrew L, Hotze Allison E, Ker Grace L, Moore Robert P, Bergese Sergio D
机构信息
Stony Brook University Renaissance School of Medicine, Stony Brook, NY 11794, USA.
Department of Anesthesiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY 11794, USA.
出版信息
Cancers (Basel). 2025 Apr 26;17(9):1452. doi: 10.3390/cancers17091452.
BACKGROUND
Advances in pediatric perioperative care have supported the safe provision of increasingly complex surgical care to patients with complicated diseases and abnormal physiology. This has led to the possible misalignment of the impact of potential surgical outcomes and goals of care. Methods / Objectives: We describe the development of a novel process that leverages the combination of longitudinal engagement of pediatric palliative care consultants and multidisciplinary care planning to ensure that perioperative care remains patient-centered and goal-directed for all children, especially children with complex baseline disease.
CONCLUSIONS
Our novel process should be considered a solution to a crictial gap in pediatric perioperative care.
背景
儿科围手术期护理的进展有助于为患有复杂疾病和生理异常的患者安全地提供日益复杂的手术护理。这可能导致潜在手术结果的影响与护理目标之间出现错位。方法/目标：我们描述了一种新流程的开发，该流程利用儿科姑息治疗顾问的长期参与和多学科护理计划相结合的方式，以确保围手术期护理对所有儿童，尤其是患有复杂基础疾病的儿童而言，仍然是以患者为中心且目标导向的。
结论
我们的新流程应被视为解决儿科围手术期护理关键差距的一种方案。
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