Wilkinson K A, Freeth H, Martin I C
National Confidential Enquiry into Patient Outcome and Death,London,UK.
J Laryngol Otol. 2015 Mar;129(3):212-6. doi: 10.1017/S0022215115000158. Epub 2015 Feb 3.
The National Confidential Enquiry into Patient Outcome and Death presents a detailed survey of practice, encompassing the care pathway for patients with a new tracheostomy formed in hospital, alongside a review of organisational aspects of care.
Tracheostomy formation has come to be regarded as a relatively low-risk procedure that can be carried out safely at the bedside, even in high-risk patients. Information on how many procedures are carried out percutaneously has been poor and not captured by existing UK data collection systems.
The study reinforces recommendations made by other healthcare groups, and presents new information which can be used as a basis for discussion and future planning to improve patient outcomes. The importance of meticulous ongoing care of a tracheostomy is recognised as important to prevent patient complications. Bedside staff must have the knowledge, competencies and confidence to deal with common and potentially life-threatening emergencies when they occur.
全国患者结局与死亡保密调查对实践进行了详细调查，涵盖了在医院新形成气管造口术患者的护理路径，同时对护理的组织方面进行了审查。
气管造口术已被视为一种相对低风险的手术，即使在高危患者中也可以在床边安全进行。关于经皮进行的手术数量的信息一直很少，并且现有英国数据收集系统未捕获到这些信息。
该研究强化了其他医疗保健团体提出的建议，并提供了新信息，可作为讨论和未来规划的基础，以改善患者结局。气管造口术持续细致护理的重要性被认为对预防患者并发症很重要。床边工作人员必须具备知识、能力和信心，以便在常见和潜在危及生命的紧急情况发生时进行处理。
