Awad Z, Pothier D D
Department of Otolaryngology, Southmead Hospital, Westbury-on-Trym, Bristol, UK.
J Laryngol Otol. 2007 Jan;121(1):57-60. doi: 10.1017/S0022215106002738. Epub 2006 Oct 11.
To determine levels of confidence in the management of surgical airway emergencies by junior ENT staff.
Telephone survey.
100 Senior House Officers (SHOs) from 100 hospitals in the UK, providing 24 hour first on-call emergency ENT cover.
A list of questions was put to participants. The effects of different variables on confidence with airway emergencies and what SHOs considered to be adequate training were compared.
Most SHOs provided cover for the management of surgical airway emergencies. Many of the participants were not confident to handle airway emergencies or felt that their training was inadequate. As expected, the amount of previous experience in ENT and the ability to perform advanced airway procedures gave SHOs greater confidence, but attendance at airway courses did not.
Confidence in the management of airway problems is variable and does not correlate well with perceived adequacy of training. We suggest that systems of training in airway management are improved. Training issues may be better approached at an individual level, where deficiencies can be addressed.
确定初级耳鼻喉科工作人员处理外科气道急症的信心水平。
电话调查。
来自英国100家医院的100名高级住院医师（SHOs），提供24小时耳鼻喉科急诊首诊服务。
向参与者提出一系列问题。比较不同变量对气道急症信心的影响以及SHOs认为何种培训是足够的培训。
大多数SHOs参与了外科气道急症的处理。许多参与者对处理气道急症没有信心，或者觉得他们的培训不足。正如预期的那样，以前在耳鼻喉科的经验量和执行高级气道操作的能力使SHOs更有信心，但参加气道课程并没有起到这样的作用。
处理气道问题的信心各不相同，且与所认为的培训充分程度没有很好的相关性。我们建议改进气道管理培训体系。培训问题可能在个体层面上更容易解决，在这个层面上可以解决不足之处。
