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在呼吸道治疗师试图输管治疗期间,主治医生的存在的影响

Andrew G Miller^1,2,3, Andrew Almond², Craig R Rackley⁴

¹Mr. Miller and Dr. Rotta are affiliated with the Division of Pediatric Critical Care Medicine, Duke University Medical Center, Durham, North Carolina, USA.

Respiratory care

|March 5, 2026

概括

在呼吸道治疗师 (RT) 进行内内输管治疗时,临床医生的存在并没有改善第一次尝试的成功率. 然而,出席的存在与较少的气道相关不良事件 (AE) 有关.

科学领域:

关键护理医学关键护理医学
呼吸系统疗法呼吸系统疗法
航空航道管理的管理.

背景情况:

呼吸系统治疗师 (RTs) 进行内内管注射,通常没有立即的医生可用性.
假设是,在RT输管尝试期间,医生出席会提高第一次尝试的成功率.

研究的目的:

评估主治医生的存在对呼吸治疗师进行的内内管道输入术的第一次尝试成功率的影响.
评估主治医生的存在与在RT带领的输入管过程中发生与呼吸道有关的不良事件之间的关联.

主要方法:

在2020年5月至2025年3月期间,RTs对710次内内管试验进行了回顾性研究.
在医生出席和不出席的输管之间比较结果 (第一次尝试成功率,不良事件).
后勤回归分析被用来确定与成功率和不良事件的参与存在的关联.

主要成果:

在第一次尝试 (92%对88%) 或整体 (99%对98%) 成功率上没有明显的差异.
当医生在场时,与气道相关的不良事件显著减少 (2.8%对11%).
出席的存在与经验较少的RT和更频繁的视频喉腔镜使用有关;当出席者缺席时,药物的使用较少.

结论:

在RT执行的内内管管道输入过程中,医生出席并没有提高第一次尝试的成功率.
在这些程序中,护理医生的存在与呼吸道相关的不良事件的减少有关.

关键词:

气道管理气道管理气道管理输入管是输入管的方法.患者安全患者安全呼吸系统护理从业人员.呼吸道治疗师的呼吸道治疗师

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