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英国麻醉科实用气道培训的全国性调查。是否需要制定国家政策?

A national survey of practical airway training in UK anaesthetic departments. Time for a national policy?

机构信息

Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK.

出版信息

Anaesthesia. 2016 Nov;71(11):1273-1279. doi: 10.1111/anae.13567. Epub 2016 Sep 28.

Abstract

The Fourth National Audit Project (NAP4) recommended airway training for trainee and trained anaesthetists. As the skills required for management of airway emergencies differ from routine skills and these events are rare, practical training is likely to require training workshops. In 2013, we surveyed all UK National Health Service hospitals to examine the current practices regarding airway training workshops. We received responses from 206 hospitals (62%) covering all regions. Regarding airway workshops, 16% provide none and 51% only for trainees. Of those providing workshops, more than half are run less than annually. Workshop content varies widely, with several Difficult Airway Society (DAS) guideline techniques not taught or only infrequently. Reported barriers to training include lack of time and departmental or individual interest. Workshop-based airway training is variable in provision, frequency and content, and is often not prioritised by departments or individual trainers. It could be useful if guidance on workshop organisation, frequency and content was considered nationally.

摘要

第四国家审计项目(NAP4)建议对实习麻醉师和受训麻醉师进行气道培训。由于管理气道紧急情况所需的技能与常规技能不同,而且这些事件很少发生,因此实际培训可能需要培训研讨会。2013 年,我们调查了所有英国国民保健服务医院,以了解目前关于气道培训研讨会的实践情况。我们收到了 206 家医院(62%)的回复,涵盖了所有地区。关于气道研讨会,16%的医院不提供,51%的医院仅为学员提供。在提供研讨会的医院中,超过一半的医院每年举办的研讨会少于一次。研讨会的内容差异很大,有几种困难气道学会(DAS)指南技术未教授或很少教授。报告的培训障碍包括缺乏时间以及部门或个人利益。基于研讨会的气道培训在提供、频率和内容方面存在差异,并且通常不受部门或个别培训师的重视。如果能在全国范围内考虑关于研讨会组织、频率和内容的指导,这将是很有用的。

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