South Central Ambulance Service, Southern House, Sparrowgrove, Otterbourne, UK.
Emerg Med J. 2010 Mar;27(3):226-33. doi: 10.1136/emj.2009.082115.
Paramedic tracheal intubation has been practised in the UK for more than 20 years and is currently a core skill for paramedics. Growing evidence suggests that tracheal intubation is not the optimal method of airway management by paramedics and may be detrimental to patient outcomes. There is also evidence that the current initial training of 25 intubations performed in-hospital is inadequate, and that the lack of ongoing intubation practice may compound this further. Supraglottic airway devices (eg, laryngeal mask airway), which were not available when extended training and paramedic intubation was first introduced, are now in use in many ambulance services and are a suitable alternative prehospital airway device for paramedics.
在英国，护理人员施行气管插管术已有二十多年，目前是护理人员的核心技能之一。越来越多的证据表明，气管插管术并非护理人员进行气道管理的最佳方法，并且可能对患者的预后产生不利影响。此外，目前在医院中进行的 25 次插管初始培训不足，而且缺乏持续的插管实践可能会进一步加剧这种情况。当最初引入扩展培训和护理人员插管时，尚未使用声门上气道装置（例如，喉罩气道），但现在许多救护车上都在使用这些装置，并且是护理人员进行院前气道装置的合适替代方法。
