多学科团队协作模式在重症脑损伤气管切开患者拔管中的应用进展

Research progress on application of multidisciplinary team model in tracheostomy tube decannulation for severe acute brain injury patients undergoing tracheotomy

重症脑损伤患者气管切开率高,在保证患者安全的情况下尽快拔管是临床研究的重点和难点。多学科合作团队是一种以患者为中心的多学科诊疗模式,通过相关科室及亚专业人员集体讨论的方式为患者制定并实施个性化的治疗方案。本文从团队建设、团队成员组成、成员分工、拔管方案等方面介绍国外在拔管方面的管理经验,旨在为国内气管切开患者的拔管管理提供指导。

The rate of tracheotomy is relatively high in severe acute brain injury(sABI)patients undergoing tracheotomy.The time of tracheostomy tube decannulation is an emerging and popular topic in clinical research.The multidisciplinary team mode is a healthcare approach that assumes all professional's viewpoints and expertise are valuable in the decision-making process,for establishment and implementation of individualized treatment plan.This paper brief introduced the management of tracheostomy tube decannulation for sABI patients undergoing tracheotomy from the perspectives of team building,team composition,division of labor and decannulation plan,in order to provide reference in management of patients undergoing tracheotomy.