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在先前未接受过喉镜检查培训的院前急救人员进行的困难插管模型中使用Airtraq喉镜。

Use of the Airtraq laryngoscope in a model of difficult intubation by prehospital providers not previously trained in laryngoscopy.

作者信息

Woollard M, Mannion W, Lighton D, Johns I, O'meara P, Cotton C, Smyth M

机构信息

School of Biomedical Sciences, Charles Sturt University, Bathurst, New South Wales, Australia.

出版信息

Anaesthesia. 2007 Oct;62(10):1061-5. doi: 10.1111/j.1365-2044.2007.05215.x.

DOI:10.1111/j.1365-2044.2007.05215.x
PMID:17845660
Abstract

This study evaluated the ability of prehospital providers who had no previous training in intubation, to use an Airtraq laryngoscope to intubate a manikin model of a Cormack and Lehane grade III/IV view. Volunteers attending the Australian College of Ambulance Professionals conference, Adelaide, in November 2006 received approximately 5 min of Airtraq training. First-time intubation success rate was 26/33 (79%) (95% CI 61-91%); oesophageal intubation rate was 0/33 (0%) (95% CI 0-11%); median time to intubation was 17 s (IQR 10-25 s (range 5-30 s)); and median subject-rated difficulty of use score was 21 out of a maximum of 100 (IQR 7.5-35.5 (range 1-65)). Pre-hospital providers without previous laryngoscopy training achieved high first-time intubation success rates when managing a model of a grade III/IV difficult intubation with an Airtraq laryngoscope. Users evaluated it as easy to use and achieved intubation within an acceptable breath-to-breath interval.

摘要

本研究评估了此前未接受过插管培训的院前急救人员使用Airtraq喉镜对Cormack和Lehane III/IV级视野的人体模型进行插管的能力。2006年11月参加阿德莱德澳大利亚救护专业人员学院会议的志愿者接受了约5分钟的Airtraq培训。首次插管成功率为26/33(79%)(95%可信区间61 - 91%);食管插管率为0/33(0%)(95%可信区间0 - 11%);插管中位时间为17秒(四分位间距10 - 25秒(范围5 - 30秒));受试者评定的使用难度中位评分为满分100分中的21分(四分位间距7.5 - 35.5(范围1 - 65))。此前未接受过喉镜检查培训的院前急救人员在使用Airtraq喉镜处理III/IV级困难插管模型时,首次插管成功率较高。使用者认为其易于使用,并能在可接受的呼吸间隔内完成插管。

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