American Rhinologic Society expert practice statement part 2: Postoperative precautions and management principles following endoscopic skull base surgery

IF 7.2 2区 医学 Q1 OTORHINOLARYNGOLOGY International Forum of Allergy & Rhinology Pub Date : 2024-07-12 DOI:10.1002/alr.23406
Jennifer E. Douglas MD, Nithin D. Adappa MD, Garret Choby MD, Corinna G. Levine MD, MPH, Mindy R. Rabinowitz MD, Raj Sindwani MD, Eric W. Wang MD, Bradford A. Woodworth MD, Edward C. Kuan MD, MBA
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Abstract

The goal of this American Rhinologic Society expert practice statement (EPS) is to summarize the best available evidence regarding postoperative precautions for patients following endoscopic skull base surgery for intradural pathology. These topics include the administration of postoperative nasal hygiene; patient mobilization and activity level; the resumption of continuous positive airway pressure in patients with obstructive sleep apnea; and the timing and capacity with which a patient may be subjected to barotrauma, such as air travel postoperatively. This EPS was developed following the recommended methodology and approval process as previously outlined. Given the diverse practices and limited agreement on the accepted principles regarding postoperative precautions for patients following skull base surgery, this EPS seeks to summarize the existing literature and provide clinically relevant guidance to bring clarity to these differing practice patterns. Following a modified Delphi approach, four statements were developed, all of which reached consensus. Because of the paucity of literature on these topics, these statements represent a summation of the limited literature and the experts’ opinions. These statements and the accompanying evidence are summarized below, along with an assessment of future needs.

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美国鼻科学会专家实践声明第 2 部分:内窥镜颅底手术后的术后注意事项和管理原则。
本美国鼻科学会专家实践声明(EPS)旨在总结有关硬膜内病变内窥镜颅底手术患者术后预防措施的最佳可用证据。这些主题包括术后鼻腔卫生的管理;患者的活动和活动量;阻塞性睡眠呼吸暂停患者恢复持续气道正压的情况;以及患者可能遭受气压创伤(如术后乘飞机旅行)的时间和能力。本 EPS 是按照之前概述的推荐方法和审批流程制定的。鉴于颅底手术后患者术后预防措施的实践多种多样,且公认原则的一致性有限,本 EPS 试图总结现有文献并提供临床相关指导,以澄清这些不同的实践模式。经过改良的德尔菲法(Delphi approach),共制定了四项声明,所有声明均已达成共识。由于有关这些主题的文献很少,这些声明是对有限文献和专家意见的总结。下文概述了这些声明和相关证据,以及对未来需求的评估。
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来源期刊
CiteScore
11.70
自引率
10.90%
发文量
185
审稿时长
6-12 weeks
期刊介绍: International Forum of Allergy & Rhinologyis a peer-reviewed scientific journal, and the Official Journal of the American Rhinologic Society and the American Academy of Otolaryngic Allergy. International Forum of Allergy Rhinology provides a forum for clinical researchers, basic scientists, clinicians, and others to publish original research and explore controversies in the medical and surgical treatment of patients with otolaryngic allergy, rhinologic, and skull base conditions. The application of current research to the management of otolaryngic allergy, rhinologic, and skull base diseases and the need for further investigation will be highlighted.
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