在消化内镜中重新考虑分析静止:科学协会在追踪培训路径中的作用
M Rossi1, L Tritapepe, R Conigliaro
1Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. fabio.sbaraglia@policlinicogemelli.it.
概括
一项全国性调查显示,虽然大多数意大利消化内镜单位执行复杂的手术,但许多人缺乏专门的麻醉师支持和在疼痛镇静方面的正式培训,这突出了改善实践的需要.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 临床实践指南 临床实践指南
背景情况:
- 在消化内镜检查期间,对患者的舒适性和安全性至关重要.
- 镇静实践的变化可能会影响程序结果和患者体验.
研究的目的:
- 评估意大利消化内镜单位当前的疼痛镇静实践.
- 确定护理方面的差距,并为共同制定良好临床实践 (GCP) 文件提供信息.
主要方法:
- 一项全国性调查分发给意大利麻醉,止痛,复苏和重症监护医学协会 (SIAARTI) 和意大利消化内镜学会 (SIED) 的成员.
- 发送了12500份问卷,其中662份 (5.3%) 被填写回来.
主要成果:
- 70%的单位执行高度复杂的程序,但只有26%的每日麻醉师协助.
- 90%的麻醉医生管理镇静时间和剂量; 普罗波主要由麻醉医生 (94%) 管理.
- 不到40%的人有专门的COVID-19协议,只有32.8%的人提供程序性疼痛镇静的机构培训.
结论:
- 在意大利的消化内镜中,疼痛镇静的提供和麻醉科医生的参与存在显著差异.
- 对于程序镇静的非麻醉师专业人员,显然需要进行标准化的培训和认证.
- 开发一个共享的GCP对于提高胃肠内镜中疼痛静止的质量和安全至关重要.
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