Developing a 'pleural team' to run a reactive pleural service
Developing a 'pleural team' to run a reactive pleural service
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DOI：
10.7861/clinmedicine.13-5-452
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发表时间：
2013-10-01
影响因子：
4.4
通讯作者：
Maskell, Nick
中科院分区：
文献类型：
--
作者：
Bhatnagar, Rahul;Maskell, Nick
胸膜疾病越来越被认为是呼吸医学中一个重要的亚专科，特别是在国际上胸膜疾病病例持续上升的情况下。最近的进展使胸膜疾病患者的治疗选择得到了扩展，局部麻醉胸腔镜、留置胸膜导管和胸部超声都变得司空见惯。胸膜小组通常由一系列从业人员组成，他们可以优化专科服务的使用，以确保传统上需要延长住院时间的所有类型胸膜疾病患者得到有效管理，通常完全作为门诊患者。胸膜服务还可以为提高手术技能、参与临床研究和降低护理成本提供更好的机会。本文探讨了建立专门的胸膜服务和团队的理由，并强调了医院工作人员在确保其成功方面可能最有用的各种角色。
Pleural disease is increasingly recognised as an important subspecialty within respiratory medicine, especially as cases of pleural disease continue to rise internationally. Recent advances have seen an expansion in the options available for managing patients with pleural disease, with access to local-anaesthetic thoracoscopy, indwelling pleural catheters and thoracic ultrasound all becoming commonplace. Pleural teams usually consist of a range of practitioners who can optimise the use of specialist services to ensure that patients with all types of pleural disease who have traditionally needed extended admissions are managed efficiently, often entirely as outpatients. A pleural service can also provide improved opportunities for enhancing procedural skills, engaging in clinical research, and reducing the costs of care. This article explores the justification for dedicated pleural services and teams, as well as highlighting the various roles of hospital personnel who might be most useful in ensuring their success.