Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK.
Anaesthesia. 2010 May;65(5):462-7. doi: 10.1111/j.1365-2044.2010.06308.x. Epub 2010 Mar 19.
At least 20% of reported major adverse airway events occur on the intensive care unit. This study surveyed 315 (96%) of all general, satellite, hepatobiliary, cardiac and neuro-intensive care units in the UK and the Republic of Ireland, finding that only 100 (32%) units always use capnography for tracheal intubation while only 80 (25%) always use capnography for continuous monitoring of patients requiring controlled ventilation. Three hundred and ten (98%) units utilise a checklist of airway equipment, 311 (99%) check its functionality on a daily basis and 296 (94%) units have access to a bronchoscope. Whilst 297 (94%) ICUs have an airway trolley, sufficient equipment for unanticipated difficult intubation was only seen on 33 (10%) of units. Guidelines addressing minimum standards for monitoring and airway safety on ICU are not being met and remain below the standard expected.
至少有 20% 的报告重大气道不良事件发生在重症监护病房。这项研究调查了英国和爱尔兰共和国的所有普通、卫星、肝胆、心脏和神经重症监护病房中的 315 个（96%），发现只有 100 个（32%）单位在气管插管时始终使用二氧化碳描记术，而只有 80 个（25%）单位在需要控制通气的患者连续监测时始终使用二氧化碳描记术。310 个（98%）单位使用气道设备检查表，311 个（99%）单位每天检查其功能，296 个（94%）单位可使用支气管镜。虽然 297 个（94%）重症监护病房有气道台车，但只有 33 个（10%）单位备有足够的设备用于处理意外的困难插管。解决重症监护病房监测和气道安全最低标准的指南尚未得到满足，仍低于预期标准。
