在一个垂直建造的儿童医院中,对一个新的快速困难气道反应小组进行了分析
Matthew J Rowland1,2, Inbal Hazkani3, Danielle Becerra2
1Department of Anesthesiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Paediatric anaesthesia
|September 12, 2023
概括
一个快速的难以呼吸道响应小组成功地在97.4%的时间内在患者的位置保护了呼吸道,避免了医院内运输风险. 这种方法对于在医院内管理困难的气道是有效的.
科学领域:
- 紧急医疗 紧急医疗
- 麻醉学 麻醉学
- 关键的护理关键的护理
背景情况:
- 医院内运输带来风险,特别是在呼吸道管理期间.
- 困难的气道管理是具有挑战性的,特别是在垂直医院.
- 关于在运输过程中对空中通道进行管理与在现场进行管理的研究有限.
研究的目的:
- 评估一个快速的困难气道反应小组的有效性.
- 确定在患者的主要位置保护呼吸道的可行性.
- 通过专门的团队分析与困难的气道管理相关的结果.
主要方法:
- 快速困难的气道响应激活的回顾性图表审查 (2019年12月 - 2021年12月).
- 主要结局:在患者的首要位置上安全的气道.
- 二次结果:安全的时间,使用的设备,尝试,并发症,死亡率.
主要成果:
- 96个激活,78个表示;97.4%的气道在主要位置被保护.
- 气道固定的平均时间:17.1分钟.
- 直接喉腔镜 (42.3%) 和视频喉腔镜 (29.5%) 是常见的方法;不需要前接入.
结论:
- 一个快速的困难呼吸道响应小组有效地管理患者所在的呼吸道.
- 这一策略将与医院内运输相关的风险降至最低.
- 未来的研究应该专注于减少固定时间和确定心脏骤停因素.
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