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护理人员进行小儿气管插管操作的临床特征。

Clinical characteristics of paramedics' performance of pediatric endotracheal intubation.

作者信息

Pointer J E

机构信息

Alameda County Emergency Service Medical District, Oakland, CA.

出版信息

Am J Emerg Med. 1989 Jul;7(4):364-6. doi: 10.1016/0735-6757(89)90039-9.

Abstract

There are little data available on success rates, complications, and efficacy of intubation in the pediatric age group by prehospital personnel. In a 12-month period, paramedics successfully intubated 32 of 36 (88.9%) patients for various indications, with a total of 67 attempts. Seventeen of 36 (47.2%) patients survived to hospital admission. Patient age ranged from newborn to 14 years. Paramedics used the straight blade in 21 of 37 patients (56.8%). The study demonstrates that paramedics can intubate pediatric patients with the same success rate as in adult patients. The data support the inclusion of pediatric endotracheal intubation in the scope of paramedic practice.

摘要

关于院前急救人员对儿科患者进行插管的成功率、并发症及有效性的数据很少。在为期12个月的时间里,护理人员因各种指征成功为36例患者中的32例(88.9%)进行了插管,共尝试67次。36例患者中有17例(47.2%)存活至入院。患者年龄从新生儿到14岁不等。护理人员在37例患者中的21例(56.8%)使用了直喉镜叶片。该研究表明,护理人员对儿科患者进行插管的成功率与成年患者相同。这些数据支持将儿科气管插管纳入护理人员的执业范围。

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