IMPACT OF COLLABORATIVE CARE IN HYBRID SURGICAL INTERVENTIONS FOR CAROTID BLOWOUT SYNDROME IN NASOPHARYNGEAL CARCINOMA PATIENTS: INSIGHTS FOR OPTIMIZING SURGICAL OUTCOMES AND REHABILITATION

Authors

  • Yimei Yang Department of Hybrid Operation Room, The Third Affiliated Hospital of Southern Medical University, No.183 Zhongshan Avenue West, Tianhe District, Guangzhou 510665, China.
  • Meiyun Zheng Department of Hybrid Operation Room, The Third Affiliated Hospital of Southern Medical University, No.183 Zhongshan Avenue West, Tianhe District, Guangzhou 510665, China.
  • Siyan Li Department of Hybrid Operation Room, The Third Affiliated Hospital of Southern Medical University, No.183 Zhongshan Avenue West, Tianhe District, Guangzhou 510665, China.
  • Zhouyang Zhao Department of Neurosurgery, The Third Affiliated Hospital of Southern Medical University, No.183 Zhongshan Avenue West, Tianhe District, Guangzhou 510665, China.
  • Lijin Huang Department of Neurosurgery, The Third Affiliated Hospital of Southern Medical University, No.183 Zhongshan Avenue West, Tianhe District, Guangzhou 510665, China.

Keywords:

physician-nurse collaboration; nasopharyngeal carcinoma; hybrid surgery; carotid artery blowout syndrome

Abstract

Objective: This study investigates the effectiveness of physician-nurse collaboration in managing internal carotid artery (ICA) blowout syndrome resulting from nasopharyngeal carcinoma (NPC) during one-stop hybrid operations. The aim was to assess how such teamwork influences operation efficiency, patient outcomes, and team satisfaction within a high-stakes surgical environment. Methods: Thirty-two athletic patients undergoing one-stop hybrid operations for ICA blowout syndrome were retrospectively analyzed. They were categorized into two groups: a physician-nurse collaboration group (25 athletic patients) and a control group (7 patients) with traditional operation team roles. The primary outcomes measured were operation time, mortality rate, length of hospital stay, and physician-nurse satisfaction. Results: The collaborative approach between physicians and nurses in the treatment group significantly enhanced operational efficiency, as evidenced by shorter operation times and reduced lengths of hospital stays compared to the control group. Furthermore, there was a notable decrease in athletic patient mortality and a marked improvement in team satisfaction within the collaboration group, with all differences achieving statistical significance (p < 0.05). Conclusion: Effective physician-nurse collaboration in one-stop hybrid operations for treating carotid blowout syndrome in NPC athletic patients not only optimizes clinical outcomes but also enhances the procedural satisfaction levels of the healthcare team. These findings highlight the critical role of integrated team dynamics in complex surgical interventions, suggesting that such collaborative models could be beneficial in other high-stakes surgical environments. The implications extend to postoperative recovery, potentially influencing rehabilitation speeds and outcomes, a vital aspect for athletic patients including those engaged in physical activities post-recovery.

Published

2024-03-01