The Zurich Checklist for Safety in the Intraoperative Magnetic Resonance Imaging Suite: Technical Note.
The Zurich Checklist for Safety in the Intraoperative Magnetic Resonance Imaging Suite: Technical Note.
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DOI：
10.1093/ons/opy205
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发表时间：
2019-06-01
期刊：
影响因子：
--
通讯作者：
Bozinov O
中科院分区：
文献类型：
--
作者：
Stienen MN;Fierstra J;Pangalu A;Regli L;Bozinov O
最近，术中磁共振成像（ioMRI）在神经外科中的应用已经发展。与ioMRI增强程序相关的挑战是重大的，因为磁场会产生潜在的危险环境。手术室（OR）的严格安全指南是必要的。检查表可以最大限度地减少错误，同时提高效率和改进工作流程。描述苏黎世在ioMRI环境中的安全性检查表。我们总结了在2室高场3特斯拉ioMRI套件中使用该新系统进行经颅或经蝶手术的4年期间超过300例手术的检查表方案和经验。我们机构使用的2室环境的特殊性可总结为（1）患者从无菌环境转移到非无菌环境，以及（2）患者从无磁场区转移到有高强度磁场区。出于有效工作流程、与磁场强度相关的安全性或无菌性问题的原因，引入了清单上的步骤。检查表中的每个步骤对应于ioMRI套件中工作流程中的特定阶段和特定操作。大多数步骤与任何2室ioMRI-OR套房相关。ioMRI检查表的使用促进了对错误的零容忍态度，可以降低并发症，并可以帮助为患者和手术室人员创造一个高效和安全的环境。我们强烈建议在应用ioMRI时使用手术清单。
Recently, the use of intraoperative magnetic resonance imaging (ioMRI) has evolved in neurosurgery. Challenges related to ioMRI-augmented procedures are significant, since the magnetic field creates a potentially hazardous environment. Strict safety guidelines in the operating room (OR) are necessary. Checklists can minimize errors while increasing efficiency and improving workflow. To describe the Zurich checklists for safety in the ioMRI environment. We summarize the checklist protocol and the experience gained from over 300 surgical procedures performed over a 4-yr period using this new system for transcranial or transsphenoidal surgery in a 2-room high-field 3 Tesla ioMRI suite. Particularities of the 2-room setting used at our institution can be summarized as (1) patient transfer from a sterile to a nonsterile environment and (2) patient transfer from a zone without to a zone with a high-strength magnetic field. Steps on the checklist have been introduced for reasons of efficient workflow, safety pertaining to the strength of the magnetic field, or sterility concerns. Each step in the checklist corresponds to a specific phase and particular actions taken during the workflow in the ioMRI suite. Most steps are relevant to any 2-room ioMRI-OR suite. The use of an ioMRI-checklist promotes a zero-tolerance attitude for errors, can lower complications, and can help create an environment that is both efficient and safe for the patient and the OR personnel. We highly recommend the use of a surgical checklist when applying ioMRI.
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影响因子：
4.1
作者：
Rahmathulla, Gazanfar;Recinos, Pablo F.;Recinos, Violette Renard
通讯作者：
Recinos, Violette Renard
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作者：
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Borghi, Luca
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10.7
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WHITWAM, JG
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2
作者：
Dinevski, Nikolaj;Sarnthein, Johannes;Bozinov, Oliver
通讯作者：
Bozinov, Oliver
影响因子：
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作者：
Griffin, F. A.;Classen, D. C.
通讯作者：
Classen, D. C.