在美国的一家医院通过临床医生进行气管管道输液. 2016-2020年注册表:根据PICU参与技能维护计划和奖学金培训计划的分析
Mizue Kishida1, Robert A Berg2, Natalie Napolitano3
1Division of Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan.
概括
儿科重症护理医学 (PCCM) 奖学金计划与空气管内输管 (TI) 较少和初次成功率较低的护理医生有关. 技能维护计划可以减少TIs期间的不良气道结果.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 航空航道管理的管理.
- 医学教育 医学教育
背景情况:
- 气管管道输入 (TI) 是儿科重症监护室 (PICU) 护理医生的关键技能.
- 保持TI的熟练程度对于患者的安全至关重要.
- 儿科重症监护医学 (PCCM) 奖学金计划对参加TI的表现和成功率的影响尚不清楚.
研究的目的:
- 调查PCCM奖学金计划与参加PICU中医生执行TI的频率和成功之间的联系.
- 评估参加TI技能维护计划 (SMP) 对TI成功和不良结果的影响.
- 为了确定PCCM奖学金地位是否影响临床医生TI成功率.
主要方法:
- 针对儿童的国家紧急航空航道登记 (NEAR4KIDS) 数据库的回顾性分析 (2016年7月 - 2020年6月).
- 包括33个北美PICU,分析了接受TI的儿童的数据.
- 主要结果:参与者的首次TI成功;次要结果:第一次尝试就出现了不良的气道结果. 根据PCCM奖学金的存在和参加TI SMP的数据进行分析.
主要成果:
- 拥有PCCM奖学金的PICU与没有PCCM奖学金的PICU相比,具有显著较低的TI率 (13.8 TI/年) 与没有 (36.6 TI/年) 相比.
- 在获得奖学金 (70.5%) 和没有奖学金 (81.3%) 的PICU中,首次TI成功率较低.
- 参加TI SMP与减少不良气道结果的趋势 (32.8%与40.3%) 有关.
结论:
- 获得PCCM奖学金的PICU课程的学生有较少的机会进行TI,并且在第一次尝试中表现出较低的成功率.
- 实施和改善参加TI技能维护计划的机会存在,特别是在拥有PCCM奖学金的PICU中.
- 进一步的研究是有必要的,以优化TI熟练程度和患者在奖学金培训环境的结果.
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