Rivas E, Ubré M, Martínez-Pallí G, Valero R, Beltran J, López A, Balust J
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Clínic de Barcelona, Universitat de Barcelona, España.
Rev Esp Anestesiol Reanim. 2012 Nov;59(9):483-8. doi: 10.1016/j.redar.2012.06.012. Epub 2012 Aug 24.
Fibreoptic intubation is the technique of choice for resolving complications related to a difficult airway. Our aim was to determine whether a clinical-practice-based, individualized course provides sufficient training and confidence to allow anaesthetists to routinely practice fibreoptic intubation.
Our hospital developed a clinical-practice-based, individualized course on fibreoptic intubation in general anaesthesia that provided practice in sedated spontaneously breathing patients and insertion through supraglottic devices. From 2005 to 2009, we e-mailed participants for response to an anonymous online self-assessment survey. We asked participants about the training outcomes and their overall degree of satisfaction.
Seventy-seven participants were sent the questionnaire six months after the course and 61% responded. All respondents considered themselves skilled in handling the bronchoscope at the end of the course and 97% used it in their routine practice in patients with difficult airways.
These results suggest a high success rate can be expected from individually tailored fibreoptic intubation courses that supplement theory and mannequin experience with clinical practice.
纤维光学插管是解决与困难气道相关并发症的首选技术。我们的目的是确定基于临床实践的个性化课程是否能提供足够的培训并增强信心，使麻醉医生能够常规开展纤维光学插管操作。
我院开发了一门基于临床实践的全身麻醉下纤维光学插管个性化课程，该课程为在镇静状态下自主呼吸的患者提供实践机会，并通过声门上装置进行插管操作。2005年至2009年期间，我们通过电子邮件向参与者发送匿名在线自我评估调查问卷。我们询问了参与者关于培训效果及总体满意度的情况。
课程结束6个月后，向77名参与者发送了问卷，61%的人给予了回复。所有受访者在课程结束时都认为自己熟练掌握了支气管镜操作，97%的人在困难气道患者的常规实践中使用了支气管镜。
这些结果表明，通过临床实践补充理论和模拟训练经验的个性化纤维光学插管课程有望取得较高的成功率。
