麻醉科医生当前的做法模式,难以进行呼吸道管理:一个全国性的横截面调查
Balasaheb T Govardhane1, Apurva D Shinde1, Raghubirsingh P Gehdoo1
1Dr. D. Y. Patil Medical College, Department of Anaesthesilogy, Nerul, Navi Mumbai, Maharashtra, India.
印度麻醉医生更喜欢视频喉腔镜用于困难的输内管和静脉导管cricothyroidotomy无法输内管或无法通风的紧急情况. 这些发现凸显了印度目前的空气道管理实践.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 紧急医疗 紧急医疗
背景情况:
- 全球麻醉科医生之间,呼吸道管理实践的差异很大.
- 了解这些变异对于改善患者安全和治疗结果至关重要.
- 这项研究侧重于印度麻醉师在具有挑战性的呼吸道场景中的实践.
研究的目的:
- 评估印度麻醉科医生目前的实践模式,以应对意外困难的输管.
- 评估用于无法输管或无法通风 (CICV) 情况的首选技术和设备.
- 确定在印度不同医疗保健机构中先进的气道管理设备的可用性.
主要方法:
- 一份关于呼吸道管理偏好的验证问卷被分发给印度麻醉学会的成员.
- 数据通过在线谷歌表格和手动分发在持续医学教育计划中收集.
- 总共分析了535个响应,以确定实践模式.
主要成果:
- 视频喉镜 (VL) 是预期不到的困难输内管道 (60.1%) 最喜欢的设备.
- 还注意到输管喉膜呼吸道/喉膜呼吸道 (23.5%) 和光纤支气管 (13.5%).
- 对于CICV情况,窄孔管cricothyroidotomy (48.9%) 是最常选择的前部气道接入技术.
结论:
- 视频喉腔镜是印度麻醉科医生中难以预期的难以输入管道的领先救援设备.
- 静脉导管甲状腺切除术是管理CICV紧急情况的最常选择的方法.
- 在许多印度医疗机构中,先进的气道设备的可用性是有限的,特别是在养老院和非教学政府医院.
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