在急救部门的儿科气道管理期间使用超管气道装置:注册研究
Sarah Rathe1, Hatem Alkhouri2,3, Katie Reeves4
1Department of Emergency Medicine, The Royal Children's Hospital, Parkville, Victoria, Australia.
Emergency medicine Australasia : EMA
|May 20, 2025
概括
在儿科急救呼吸道管理中,supraglottic气道装置 (SGA) 很少被使用. 尽管它们被纳入了困难的气道计划,但在输管失败后,它们作为救援装置的使用并不频繁.
科学领域:
- 儿科急救医学 儿科急救医学
- 航空航道管理的管理.
- 医疗器械 医疗器械
背景情况:
- 超管气道装置 (SGA) 在紧急气道管理中对通风和氧化至关重要.
- 它们作为救援工具,用于失败的输内管或困难的袋口罩通风.
- 此外,SGA还可以作为通往内内管道的桥梁,特别是在心脏骤停的情况下.
研究的目的:
- 为了确定澳大利亚和新西兰儿科急诊室SGA使用的频率.
- 为了确定SGA在这个人群中使用的具体指示.
- 评估SGA在现有困难的气道管理协议中的作用.
主要方法:
- 使用澳大利亚和新西兰紧急情况部门航空航道登记处 (ANZEDAR) 的数据进行了回顾性观察研究.
- 11年来,从紧急诊所儿科研究国际合作 (PREDICT) 网站分析了儿科数据 (0-18岁).
- 对20个PREDICT站点进行了关于SGA使用和纳入紧急气道管理协议的调查,收到了11个回复.
主要成果:
- 在12个PREDICT站点中,SGA被用于3.5% (14/403) 的儿科输管.
- 整体第一通输管成功率为81.05%.
- 在14个案例中,SGA在输入管之前被使用,并且仅在一个案例中作为救援装置;72%的受访ED医生将SGA纳入了他们困难的气道计划中.
结论:
- 在手术室外的儿科急救气道管理中,使用超节节气道装置并不常见.
- 尽管SGA被纳入了困难的气道计划,但SGA在输管不成功后很少被用作救援装置.
- 进一步的研究可能是有必要的,以了解在紧急情况下使用SGA的障碍.
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