气管切除术在耳鼻喉学教育和培训计划中:一项日本全国性的调查
Masaaki Higashino1, Koichiro Saito2, Kiyoaki Tsukahara3
1Department of Otorhinolaryngology Head and Neck Surgery, Osaka Medical and Pharmaceutical University, Japan.
Auris, nasus, larynx
|August 10, 2023
概括
这项调查揭示了日本手术呼吸道管理培训中的常见做法和并发症. 它强调需要对耳鼻喉科住院医生进行外科气管切除术和皮肤通气管切除术的全面教育.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术气道管理手术气道管理
- 医学教育 医学教育
背景情况:
- 手术呼吸道管理,特别是气管切除术,是耳鼻喉科医生的关键技能.
- 目前的培训计划需要对气管切除术和术后护理有充分的了解.
- 建立安全和实用的指导方针对于有效的呼吸道外科教育至关重要.
研究的目的:
- 在日本耳鼻喉学培训中确定气管切除术和术后管理方面的挑战.
- 在全国范围内收集关于手术呼吸道管理当前实践的数据.
- 为改善呼吸道外科医生的教育指南的制定提供信息.
主要方法:
- 进行了一项全国性的问卷调查调查.
- 该调查针对了日本的核心耳鼻喉科培训机构.
- 收集了关于气管切除术手术,术后护理和并发症的数据.
主要成果:
- 手术气管切除术 (ST) 主要进行 (89.1%),而皮肤间扩张气管切除术 (PDT) 不常使用 (<10%).
- 耳鼻喉科的住院医生执行了大多数气管切除术;在职培训是主要的教育方法 (98.0%).
- 高的并发症率包括气管静脉颗粒 (89.1%),肺气 (62.4%),管狭窄 (55.4%).
结论:
- 培训应包括ST和PDT,以提供全面的气道管理教育.
- 准确的知识,熟练的手术技术和专业间的合作对于安全的培训计划至关重要.
- 耳鼻喉科医生必须接受培训,以领导手术内和手术后的呼吸道管理.
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