Department of Emergency Medicine, Inje University College of Medicine, Busan, Korea.
J Telemed Telecare. 2011;17(1):49-53. doi: 10.1258/jtt.2010.100202. Epub 2010 Nov 19.
We developed a telemedicine system for remote guidance of emergency airway management called the Tele-Airway Management System (TAMS). In a pilot study we examined the usefulness of the TAMS for intubations of actual patients in a hospital emergency department. Twenty-five patients were allocated randomly either to a TAMS group or to an on-scene directed (OSD) group. A total of 12 were intubated using the TAMS. The mean time to intubation (TAMS 62 s vs. OSD 56 s) and the success rate was not different between the two groups (P > 0.05). There were two oesophageal intubations in the TAMS group and four in the OSD group, but this was not significantly different (P = 0.36). There were no mechanical or technical errors such as disconnection during use of the TAMS. The pilot study demonstrated the feasibility of the TAMS as an alternative to OSD. However, a larger study will be required to determine non-superiority or equivalence.
我们开发了一种名为 Tele-Airway Management System（TAMS）的远程指导急诊气道管理的远程医疗系统。在一项试点研究中，我们研究了 TAMS 在医院急诊部门对实际患者进行插管的有用性。25 名患者被随机分配到 TAMS 组或现场指导（OSD）组。共有 12 名患者使用 TAMS 进行插管。两组的插管时间（TAMS 62 秒与 OSD 56 秒）和成功率无差异（P > 0.05）。TAMS 组有 2 例食管插管，OSD 组有 4 例，但无显著差异（P = 0.36）。在使用 TAMS 时没有出现如断开连接等机械或技术错误。该试点研究表明 TAMS 作为 OSD 的替代方案具有可行性。但是，需要更大的研究来确定 TAMS 非劣效或等效性。
