医护人员对医院前输入管道的感知与实际时间
Daniel Shou1, Matthew Levy1,2, Ruben Troncoso1,2
1Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland.
The western journal of emergency medicine
|July 19, 2024
概括
护理人员大大低估了内管道输入所需的时间,这是一个关键的紧急程序. 这种时间扭曲,感知时间比实际时间短,可能导致患者护理的未被识别的延迟.
科学领域:
- 紧急医疗 紧急医疗
- 在医院前的护理.
- 医学教育 医学教育
背景情况:
- 在紧急程序 (如内内管道输液) 中,情境意识至关重要.
- 之前关于输管过程中时间扭曲的研究主要集中在医院内医生执行的手术上.
- 在医院前输管治疗期间,时间扭曲对护理人员的影响仍未得到充分研究.
研究的目的:
- 为了研究医护人员进行内内管管道输注时的时间扭曲.
- 为了将感知到的全喉镜检查时间与实际的全喉镜检查时间在医院前环境中进行比较.
- 为了确定与医护人员领导的输管术期间显著时间扭曲相关的因素.
主要方法:
- 来自郊区EMS系统的医院前输管数据的回顾性分析 (2021年1月至2022年5月).
- 包括接受护理人员视频喉腔镜检查的18岁以上的患者.
- 感知喉镜时间 (从EHR) 与实际时间 (从视频评论) 的比较.
主要成果:
- 总共分析了112次输入管道.
- 平均实际喉腔镜检查时间为50.0秒,而平均感知时间为27.8秒.
- 实际时间和感知时间之间的差异中位数为18秒,表明显著低估.
结论:
- 护理人员对全喉镜检查时间的看法被严重低估.
- 时间扭曲可能会导致在医院前输管术中未被识别的延长程序时间.
- 由于包括样本大小和潜在混变量在内的局限性,需要进行进一步的研究.
更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.5K
03:58Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
Published on: August 2, 2024
635
相关概念视频
Endotracheal Intubation I: Procedure
1.1K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.1K
Endotracheal Intubation II: Nursing Management
555
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
555
Endotracheal Tube Extubation
565
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
565
Assessment of Ventilation I: Respiratory Rate
1.1K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
1.1K
