在创伤的环境中,描述急诊室外科呼吸道的位置
Amy R Krepps1, David J Douin1, Julie M Winkle2
1Department of Anesthesiology, University of Colorado School of Medicine, Aurora, CO, USA.
The American journal of emergency medicine
|September 3, 2024
概括
紧急外科呼吸道 (ESA) 放置很少进行,但对于创伤复苏至关重要. 透伤害和面部创伤显著增加了ESA使用的可能性,突出了保持这一关键技能的必要性.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 航空航道管理的管理.
背景情况:
- 呼吸道管理对于重症创伤患者至关重要.
- 紧急外科呼吸道 (ESA) 是在输入管失败时为内内腔输入管 (ETI) 的备用.
- 了解ESA发生率和相关因素对于创伤护理至关重要.
研究的目的:
- 为了确定紧急部门 (ED) 的发生率,ESA.
- 为了比较ESA和ETI仅接收者的结果.
- 在创伤患者中确定与ESA接收相关的因素.
主要方法:
- 对创伤质量改善计划 (2017-2022) 数据集的分析.
- 包括接受ED,ESA和/或ETI的患者.
- 对ESA与只有ETI的组进行比较,包括多变量逻辑回归.
主要成果:
- 在2,264名患者中进行了ESA,其中82名是15岁以下的儿童.
- 只有ETI组的生存率 (24小时和出院) 比ESA组更好.
- 头部/部,面部,胸部和皮肤受伤,以及穿透机制 (枪支,刺伤) 与ESA有关.
结论:
- 很少进行ESA,但有时被用作主要的气道干预.
- 透伤害和面部创伤与ESA放置密切相关.
- 保持对ESA的熟练程度对于有效的创伤呼吸道管理至关重要.
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