在重症监护单位识别困难的气道 (ID-ACCT):一个多中心,基于调查的前性观察性研究
Thomas J McClelland1, Adam J Boulton2, Alicia A C Waite3
1London School of Anaesthesia, London, UK; Department of Critical Care, Queens Hospital, Barking Havering and Redbridge University Hospitals NHS Trust, London, UK.
British journal of anaesthesia
|December 20, 2025
概括
已知和预测的困难呼吸道在英国重症监护室 (ICU) 常见. 然而,这些有风险的患者往往无法被医疗保健专业人员清楚地识别,这会影响患者的安全.
科学领域:
- 临界护理医学 临界护理医学
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 与呼吸道相关的并发症对重症监护室 (ICU) 的患者构成重大风险.
- 了解困难气道的流行情况和相关的管理计划对于患者安全至关重要.
- 这项研究调查了英国ICU中难以通风的气道.
研究的目的:
- 确定英国ICU患者已知和预测的呼吸道困难的患病率.
- 评估风险患者的可识别性.
- 评估气道管理计划的存在和质量.
主要方法:
- 在106个英国ICU进行了前性,多中心的观察性研究.
- 需要人工呼吸道的成年患者被评估为已知的或预测的呼吸道困难.
- 当地调查人员评估了患者识别和气道管理计划.
主要成果:
- 在1965名患者中,44.4%的患者有人工呼吸道. 在1519人中,有输管细节,16.1%的人知道有困难的呼吸道.
- 对于已知的困难航线,只有28.7%可以清楚识别,而30.7%有管理计划.
- 在没有已知的呼吸道困难的患者中,13.6%的预测呼吸道困难患者可以识别,而19.6%的患者有计划.
结论:
- 既知和预测的困难气道在英国ICU设置中很普遍.
- 对于这些高风险患者的明确识别和管理计划存在重大差距.
- 需要改进的策略来加强呼吸道管理和ICU中的患者安全.
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