Casserly P, Lang E, Fenton J E, Walsh M
Mid-Western Regional Hospital, Limerick, Ireland.
Br J Anaesth. 2007 Sep;99(3):380-3. doi: 10.1093/bja/aem167. Epub 2007 Jul 3.
Ear, nose, and throat (ENT) surgeons perform the majority of surgical tracheostomies. Intensive care anaesthetists are increasingly performing bedside percutaneous tracheostomy. The objectives of this study were to characterize emergency complications of tracheostomy and to ascertain healthcare professionals' knowledge of life-saving strategies for the patient with a tracheostomy.
Seventy staff members in two large teaching hospitals completed an interview questionnaire, comprising a simple clinical scenario and unambiguous questions regarding the emergency management of patients with a tracheostomy.
There were significant gaps in knowledge among healthcare professionals regarding the management of specific tracheostomy-related emergencies.
Knowledge of tracheostomy-related emergencies appears to be insufficient among non-ENT healthcare professionals. This needs to be addressed in order to maximize patient safety.
耳鼻喉科（ENT）外科医生实施了大部分外科气管切开术。重症监护麻醉师越来越多地在床边实施经皮气管切开术。本研究的目的是描述气管切开术的紧急并发症，并确定医疗保健专业人员对气管切开术患者救生策略的了解情况。
两家大型教学医院的70名工作人员完成了一份访谈问卷，其中包括一个简单的临床病例以及关于气管切开术患者紧急处理的明确问题。
医疗保健专业人员在特定气管切开术相关紧急情况的处理知识方面存在显著差距。
非耳鼻喉科医疗保健专业人员对气管切开术相关紧急情况的了解似乎不足。为了最大限度地提高患者安全性，这一问题需要得到解决。
