在急诊室内大规模地实施状状皮的隔间区块
Tony Downs1, Joshua Jacquet1, Jno Disch1
1Cleveland Clinic Akron General, Department of Emergency Medicine, Akron, Ohio.
The western journal of emergency medicine
|June 6, 2023
概括
在关节骨折急诊室实施带 iliaca 隔间块 (FICB) 改善了医生资格. 虽然61%的符合条件的患者接受了FICB,但需要进一步培训才能增加这一数字.
科学领域:
- 紧急医疗 紧急医疗
- 麻醉学 麻醉学
- 老年医疗护理 医疗护理
背景情况:
- 带下区块 (FICB) 是文献支持的改善骨折的结果,特别是在老年患者.
- 在关节骨折患者的急诊部 (ED) 实施一致的手术前FICB是该项目的目标.
- 识别并解决了FICB实施的障碍.
研究的目的:
- 在关节骨折患者的急诊室 (ED) 实施一个一致的手术前Fascia Iliaca Compartment Block (FICB) 计划.
- 解决和克服阻碍FICB在ED环境中的广泛采用障碍的障碍.
- 评估一个全部门的FICB培训和认证计划的有效性.
主要方法:
- 一个多学科的团队,包括骨科手术和麻醉,支持开发一个全部门的FICB培训和认证程序的急诊医生.
- 该计划的目标是授权80%的急诊医生对符合条件的关节骨折患者进行手术前FICB.
- 评估了大约一年来向ED提交的关节骨折患者的数据,以确定FICB的资格和接收.
主要成果:
- 86%的急诊临床医生在教育计划后获得了执行FICB的资格.
- 在486名关节骨折患者中,295人 (61%) 符合FICB的资格.
- 在符合条件的患者中,54%的人同意并接受ED中的FICB.
结论:
- 为了成功实施FICB计划,合作,多学科的努力是必不可少的.
- 在获得资格证书的急诊医生最初的缺口是实现更高FICB利用率的主要障碍.
- 持续的教育,凭证和早期患者识别对于最大限度地向符合条件的关节骨折患者提供FICB至关重要.
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