Supraclavicular brachial plexus exploration and centralisation of services: An opinion from a national peripheral nerve injury referral unit.

Ashley I Simpson, Kapil Sugand, Anna Panagiotidou, Mike Fox, Marco Sinisi
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Abstract

Centralising complex surgeries in specialised UK hospitals improves patient outcomes by leveraging high-volume expertise and optimising resources. Supraclavicular brachial plexus exploration, a complex and high-risk procedure, requires centralisation to enhance care standards. This approach ensures experienced teams, advanced diagnostics, and a multidisciplinary framework for preoperative, surgical, and postoperative care. Early intervention is crucial for optimal results. Centralised centres also support comprehensive rehabilitation and systematic research, promoting evidence-based practices and specialist collaboration. By adopting this approach, the UK healthcare system can ensure that patients with brachial plexus injuries receive the highest quality of care, paving the way for better health outcomes and innovations in surgical practice.

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锁骨上臂丛神经探查和集中服务:全国周围神经损伤转诊单位的意见。
将复杂的手术集中到英国的专科医院进行,可以充分利用大量的专业技术和优化资源,从而改善患者的治疗效果。锁骨上臂丛神经探查术是一种复杂的高风险手术,需要集中进行以提高护理标准。这种方法确保了经验丰富的团队、先进的诊断技术以及术前、手术和术后护理的多学科框架。早期干预对取得最佳效果至关重要。集中式中心还支持全面康复和系统研究,促进循证实践和专家合作。通过采用这种方法,英国医疗保健系统可以确保臂丛神经损伤患者获得最高质量的护理,为更好的健康结果和手术实践创新铺平道路。
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Supraclavicular brachial plexus exploration and centralisation of services: An opinion from a national peripheral nerve injury referral unit. Outcomes following intensive allied health therapy in the acute hospital for trauma patients. Lived experiences of working-age polytrauma patients in Germany - A qualitative Analysis. The MOST (Mortality Score for TBI): A novel prediction model beyond CRASH-Basic and IMPACT-Core for isolated traumatic brain injury. Clinical effect on major trauma patients during simultaneous or overlapping presentations at an urban level I trauma center in Korea.
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