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光纤输管与视频辅助光纤输管在高保真儿科模拟器:一个随机控制试验
Hatsuo Isogai1, Taiki Kojima1,2, Hiromi Kako1
1Department of Anaesthesiology, Aichi Children's Health and Medical Center, Obu, JPN.
Cureus
|June 22, 2023
概括
视频辅助光纤输内管 (VAFI) 和传统光纤输内管 (FOI) 在儿科模拟中显示,新手学员的成功时间没有显著差异. 需要进一步的研究来确定儿童呼吸道管理的更安全的方法.
科学领域:
- 儿科麻醉学和气道管理
- 医疗模拟和培训技术 医学模拟和培训技术
背景情况:
- 由于独特的生理学,儿童在气管管道输液过程中面临较高的缺氧风险.
- 光纤输管 (FOI) 对于儿科呼吸道的困难是常见的,但需要广泛的培训.
- 在儿童中进行FOI的新手学员面临不良事件的风险增加.
研究的目的:
- 为了比较视频辅助光纤输管 (VAFI) 与传统FOI的疗效.
- 通过使用高保真儿科模拟器在初学者医疗专业人员中评估这些技术.
- 为儿童患有呼吸道困难的患者确定一种潜在的更安全的输管方法.
主要方法:
- 一项基于模拟的随机,受控研究,涉及28名注册手术室护士.
- 参与者被分配到 FOI 组 (没有援助) 或 VAFI 组 (使用视频喉镜).
- 主要结果:完成气管管道输入的时间;次要结果:声带通道时间,尝试和成功率.
主要成果:
- 在FOI (55.0s) 和VAFI (42.5s) 之间的中位输管时间没有显著差异,P = 0.22.
- 二次结果,包括 vocal cord 经过的时间,输管尝试和第一次成功率,也没有显著差异.
- 该研究没有发现VAFI在这个模拟的儿科环境中优于传统的FOI.
结论:
- 视频辅助光纤输内管 (VAFI) 在儿科模拟器中对于初学者提供者而言,没有显示其优越于传统的光纤输内管 (FOI).
- 这项研究强调,需要进一步研究经验不丰富的临床医生改善儿科呼吸道管理技术.
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