在重症监护室进行皮穿式气管切除术的员工经验:挑战,并发症和潜在的解决方案
M Moran1, A Goryanyy1, A Haron2,3
1Acute Intensive Care Unit Manchester University NHS Foundation Trust Manchester UK.
Anaesthesia reports
|February 26, 2026
概括
在重症监护室的气管切除术程序可能具有挑战性,特别是在肥胖患者中. 一个新的指导装置可以提高这个高风险程序的准确性和安全性.
科学领域:
- 关键护理医学 关键护理医学
- 手术技术 手术技术
- 医疗器械设计 医疗器械设计
背景情况:
- 气管切除术在重症监护室 (ICU) 常见,穿皮技术在肥胖患者或部胀患者中面临挑战.
- 插入针的困难增加了出血,气道损失和部结构损伤的风险,经常需要手术气管切除,导致延迟和增加成本.
研究的目的:
- 探索重症监护人员对气管切除术实践,安全性和指导装置的潜在实用性的观点.
- 确定最终用户的需求,并为未来的医疗器械设计在气管切除术中提出联合开发模型.
主要方法:
- 在三个ICU中,与32名医疗保健专业人员 (顾问,医生,护士,高级从业人员,辅助人员) 进行了半结构化访谈和重点小组.
- 利用感应性主题分析来分析记录和转录的访谈数据,确定与程序和潜在创新相关的关键主题.
主要成果:
- 气管切除术被认为是一种高风险,需要熟练的程序,需要监督学习,团队合作,设备和环境对于安全至关重要.
- 工作人员报告了程序规划和执行的各种方法,包括预防并发症和管理的策略.
- 参与者对指导设备表示兴趣,以提高准确性,并根据采用新技术的经验提供信息.
结论:
- 对当前气管切除术实践和安全策略的洞察力强调了需要提高准确性,特别是在复杂的情况下.
- 为设计有效的指导装置,以提高气管切除术的安全性和效率,提出了一种涉及最终用户的共同开发模型.
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