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二期腭裂整复术指导原则:咽瓣和咽成形术
发布时间:2013-03-07

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Guidelines for Partners Performing Secondary Cleft Palate Surgery: Pharyngeal Flap & Pharyngoplasty

二期腭裂整复术指导原则:咽瓣和咽成形术


Smile Train's vision is that every child born with a cleft – anywhere in the world – will have the opportunity to live a full and productive life. Safety and quality remain our top priorities and Smile Train is committed to ensuring that no child’s life is put to an unacceptable level of risk for an elective procedure and that the surgical treatment provided is of acceptable quality. The following guidelines are for partners approved to perform pharyngeal flap and pharyngoplasty procedures.

微笑列车希望无论在世界的任何地方,每个有唇腭裂的儿童都可以有机会去享受美满幸福的生活。安全和质量仍是我们的重中之重。微笑列车 承诺不会因为非急需的手术而将孩子的生命置于不可接受的风险中,并且保证所提供的手术治疗质量是可接受的。以下原则供经批准可实行咽瓣和咽成形术的合作医院参考。

Facilities:

设备:

·         Must have dedicated operating rooms available on scheduled surgery dates to minimize cancellations.

·         必须拥有专用的手术间,可以使手术在规定时间内进行,尽量减少取消手术。

·         Must have a recovery room with appropriate monitoring equipment.

·         必须拥有具备适当监护设备的麻醉苏醒间。

·         Must have post-operative wards with adequate number of qualified nurses on the ward 24 hours/day and appropriate monitoring equipment (minimum – pulse oximeters for all post-op patients).

·         必须拥有术后恢复病房,病房每天24小时都有足够多有资质的护士并且配备适当的监护设备。(至少所有术后患者都有脉搏氧饱和仪)

·         Must have dedicated staff for careful and frequent observation in the recovery ward.

·         必须具有专业人员可以在苏醒间仔细并随时观察病人。

Surgeons:

手术医生:

·         Must have adequate training/experience, with an on-going cleft practice, and documentation of at least 10 such procedures performed in the past year with no significant untoward sequelae.

·         必须具有较强的临床能力和足够的临床经验,一直从事唇腭裂临床工作,过去1年具有至少10例此类手术的病案记载,并没有造成严重的难治后遗症。

·         Must be personally responsible for surgery.

·         必须亲自主刀手术。

·         Must understand how to explore and respond to undue bleeding.

·         必须明白如何探查并处理大出血。

·         Must have access to magnifying glasses or surgical loupes.

·         必须具有放大眼镜或小型外科放大镜。

Anesthesiologists/Nurse Anesthetists:

麻醉师/麻醉护士:

·         Must have adequate training/experience with facilities to reintubate a patient on the floor and to provide care for an intubated patient outside of the operating room.

·         具有较强的能力和足够的临床经验可以使用设备在地板上进行再插管,并可以为手术室外插管的病人提供相应的治疗

·         Must have adequate experience in the administration of paediatric anaesthesia.

·         必须具有足够的实施小儿麻醉的经验。

·         Must know how to perform a tracheostomy for significant post-op airway problems.

·         必须知道如何对术后有严重呼吸问题的病人实行气管切开术。

Cleft Team:

唇腭裂团队

·         Should include speech pathologist, audiologist, and otolaryngologist experienced in cleft care.

·         应该包括对唇腭裂治疗有经验的语音师,听力学家和耳鼻喉科专家。

·         Should meet regularly to discuss surgical outcomes.

·         可以定期见面讨论手术效果。

·         Should have close liaison with paediatricians.

·         与儿科医生具有密切的联系。