TY - T1的肋间血管筛查胸膜干预前的呼吸内科医生——现实世界的前瞻性研究实践JF -欧洲呼吸杂志》乔和J - 10.1183/13993003.02245 -2019欧元SP - 1902245 AU Bedawi Eihab o . AU -塔瓦尔,Ambika AU -哈桑,法师AU -麦克拉肯,David J . AU - Asciak,Rachel AU - Mercer, Rachel M. AU - Kanellakis, Nikolaos I. AU - Gleeson, Fergus V. AU - halifax, Rob J. AU - Wrightson, John M. AU - Rahman，随着胸膜疾病发病率的上升，胸膜治疗在国际上的发展，医生进行的胸膜干预的数量也在不断增加。这通常是在没有直接进行胸外科手术或介入放射学的地方进行的。严重的并发症，如胸膜出血，可能被低估。目的评估呼吸内科医生是否可以在胸膜干预时进行肋间血管筛查，这是一个额外的步骤，可能会提高实践的安全性。方法:这是一项前瞻性、观察性研究，对某三级中心呼吸内科医生和受训人员进行的596例超声引导胸膜手术进行了研究。操作人员没有接受额外的正式放射学培训。肋间血管筛查使用低频探头和彩色多普勒特征。结果在95%的手术中，对肋间血管进行了筛查，在53%的手术中成功地发现了肋间动脉。在所有的手术过程中，筛查导致了16%的整体部位改变率，当成功识别肋间动脉时，这一比例增加到30%。 This resulted in procedure abandonment in 2% of cases due to absence of a suitable entry site. Intercostal vessel screening was shown to be of particular value in the context of image-guided pleural biopsy.Conclusion Intercostal vessel screening is a simple and potentially important additional step that can be performed by respiratory physicians at the time of pleural intervention without advanced ultrasound expertise. Whether the widespread use of this technique can improve safety requires further evaluation in a multi-centre setting with a robust prospective study.FootnotesThis manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.Conflict of interest: Dr. Bedawi has nothing to disclose.Conflict of interest: Dr. Talwar has nothing to disclose.Conflict of interest: Dr. Hassan has nothing to disclose.Conflict of interest: Dr. McCracken has nothing to disclose.Conflict of interest: Dr. Asciak has nothing to disclose.Conflict of interest: Dr. Mercer has nothing to disclose.Conflict of interest: Dr. Kanellakis has nothing to disclose.Conflict of interest: Dr. Gleeson has nothing to disclose.Conflict of interest: Dr. Hallifax has nothing to disclose.Conflict of interest: Dr. Wrightson has nothing to disclose.Conflict of interest: Dr. Rahman has nothing to disclose. ER -