Lefave Melissa, Harrell Brad, Wright Molly
J Perianesth Nurs. 2016 Jun;31(3):237-44. doi: 10.1016/j.jopan.2014.09.007. Epub 2016 Feb 12.
The purpose of this project was to assess the ability of anesthesiologists, nurse anesthetists, and registered nurses to correctly identify anatomic landmarks of cricoid pressure and apply the correct amount of force.
The project included an educational intervention with one group pretest-post-test design.
Participants demonstrated cricoid pressure on a laryngotracheal model. After an educational intervention video, participants were asked to repeat cricoid pressure on the model.
Participants with a nurse anesthesia background applied more appropriate force pretest than other participants; however, post-test results, while improved, showed no significant difference among providers. Participant identification of the correct anatomy of the cricoid cartilage and application of correct force were significantly improved after education.
This study revealed that participants lacked prior knowledge of correct cricoid anatomy and pressure as well as the ability to apply correct force to the laryngotracheal model before an educational intervention. The intervention used in this study proved successful in educating health care providers.
本项目旨在评估麻醉医生、麻醉护士和注册护士正确识别环状软骨压迫解剖标志并施加正确力度的能力。
该项目采用一组前测-后测设计的教育干预。
参与者在喉气管模型上演示环状软骨压迫。观看教育干预视频后,要求参与者在模型上重复环状软骨压迫操作。
具有麻醉护士背景的参与者在前测时施加的力度比其他参与者更合适;然而,后测结果虽有改善,但不同提供者之间无显著差异。教育后,参与者对环状软骨正确解剖结构的识别及正确力度的施加有显著改善。
本研究表明,在教育干预之前,参与者缺乏环状软骨正确解剖结构和压迫力度的相关知识,也缺乏在喉气管模型上施加正确力度的能力。本研究中使用的干预措施在教育医疗服务提供者方面被证明是成功的。