耳鼻喉外科手术中的气道火灾:数据库审查
Luke J Pasick1, Jane Y Tong2, Daniel A Benito3
1Department of Otolaryngology-Head and Neck Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
American journal of otolaryngology
|July 21, 2023
概括
涉及呼吸道的手术室火灾是耳鼻喉外科手术中的一个重大风险. 这项研究分析了气道火灾事件,发现了常见的触发因素和有限的立即干预措施,强调了需要改进培训的需要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的安全性
- 医疗器械安全 医疗器械安全
背景情况:
- 操作室的火灾构成了重大风险,估计有34%的火灾涉及呼吸道.
- 在耳鼻喉科手术期间预防和管理气道火灾的教育在研究生医学培训中是不够的.
- 缺乏报告罕见气道火灾事件的文献有助于有限的认识.
研究的目的:
- 分析手术过程中气道火灾的发生率,特征和结果.
- 确定通用触发因素和气道火灾的管理策略.
- 为教育策略提供信息,并提高耳鼻喉外科手术中的患者安全.
主要方法:
- 查询了美国食品和药物管理局的制造商和用户设施设备体验 (MAUDE) 数据库.
- 包括与2010年1月1日至2020年3月31日的气道火灾相关的不良事件报告.
- 确定了3687份报告,分析了49个独特的气道火灾病例.
主要成果:
- 分析了49个独特的气道火灾报告,其中16个 (32.7%) 是持续的火灾和33个 (67.3%) 是暂时的火焰.
- 桃切除术 (44.9%),声切除术 (10.2%) 和腺切除术 (8.2%) 是最常见的手术.
- 报告说有16名患者和2名操作人员受伤;在持续火灾中,只有12.5%的火灾发生了立即输出管.
结论:
- 气道火灾发生在各种耳鼻喉科手术中,通常是由火花或电荷触发的.
- 管理策略,如立即切除内管,很少被报告.
- 这些发现强调了需要加强对耳鼻喉科医生在气道火灾预防和管理方面的培训.
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