頁籤選單縮合
題名 | 手術室醫療團隊的溝通不良--腎輸尿管切除術引起氣胸後急救之探討=Inadequate Communication of Medical Team in Operating Room--Discussion on Critical Treatment of Postnephroureterectomy Pneumothoray |
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作者 | 范國棟; 湯兆舜; 程廣義; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 2:1 2000.01[民89.01] |
頁次 | 頁22-42 |
分類號 | 416.274 |
關鍵詞 | 氣胸; 腎輸尿管切除術; 溝通; 法律; Pneumothorax; Nephroureterectomy; Communication; Law; |
語文 | 中文(Chinese) |
中文摘要 | 一位十六歲男性接受左側腎輸尿管合併膀胱袖口切除手術,於恢復室發生氣胸。儘管術中各項監測數值均於正常範圍,但手術醫師並未告知麻醉醫師曾不慎傷及病患橫膈膜。手術後,病患於恢復室順利恢復意識並拔除氣管内管。拔管後30分,恢復室麻醉醫師注意到末梢血氧監測值逐漸下降,並診斷為左側氣胸,緊急施予胸管引流後緩解病情。本報告就此類手術引起氣胸之發生率與醫療團隊間之溝通不良進行探討。最近臺灣的民眾與衛生部門逐漸重視麻醉安全。基於病患的檢康權益,麻醉醫師應責無旁貸地在手術團隊中擔負起領導的責任。藉由主動的溝通與協調,以瞭解同僚的處境,使醫療處置令人滿意,這才是病患的福祉。 |
英文摘要 | A 16-year-old male patient suffered from pneumothorax after left nephroureterectomy with bladder cuff excision in recovery room. The surgeon failed to inform the anesthesiologist that he had injured the diaphragm unintentionally, though vital signs were found within normal range intraoperatively. The patient was extubated and emergence uneventfully. Unfortunately, gradual drop in pulse oximetry was noted by the anesthesiologist 30 minutes after removing endotracheal tube. Left pneumothorax was diagnosed and emergent chest tube insertion was done smoothly. The incidence of nephroureterectomy pneumothorax and inadequate communication in medial team will be discussed in the context. Recently, public and health administration groups have paid much attention to the safety in anesthesia in Taiwan. It is no excuse to anesthesiologist to withdraw one's own responsibility of leadership from patients' health benefit in surgical team. All medical treatment will be well through active communication and coordination to comprehend the dilemma of colleagues. This will be patients' welfare. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。