Piepho T, Härer T, Ellermann L, Noppens R R
Klinik für Anästhesiologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz, Deutschland.
Abteilung für Anästhesie und Intensivmedizin, Krankenhaus der Barmherzigen Brüder, Trier, Deutschland.
Anaesthesist. 2017 May;66(5):333-339. doi: 10.1007/s00101-017-0279-3. Epub 2017 Feb 13.
Securing the airway in severely ill patients is associated with a high rate of complications. So far, no information exists about the equipment readily available for airway management in German intensive care units (ICUs). It is also unknown if the range of material has improved over time.
In the present trial the availability of equipment for airway management in ICUs in Rhineland-Palatinate was evaluated at two different times.
Using a structured questionnaire, all ICUs in the state were contacted in the years 2010 and 2015. The availability of different types of equipment for airway management, as well as the presence of a training program for airway management, was evaluated.
For 2010 data from 64 ICUs were evaluated and for 2015 data sets from 63 ICUs were collected. In 2010 indirect laryngoscopes were available in eight ICUs; in 2015 these devices were directly accessible in 43 units (p < 0.0001). Extraglottic devices were available in all but one ICU in 2010 and all ICUs in 2015. Equipment for emergency surgical airway procedures was available in nearly every ICU (n = 60). The availability of capnography increased significantly from 2010 (n = 12) to 2015 (n = 56; p < 0.0001). In 2010 and 2015, frequent training with a focus on airway management was performed in 23 and 32 units, respectively (p > 0.05).
Most ICUs in Rhineland-Palatinate have a broad range of equipment for airway management available, and the range has significantly improved over the time period evaluated. The availability of indirect laryngoscopes and capnometers improved significantly. However, it is remarkable that in some ICU's there is still a lack of equipment for advanced airway management.
在重症患者中确保气道安全与高并发症发生率相关。到目前为止，尚无关于德国重症监护病房（ICU）中易于获得的气道管理设备的信息。也不清楚随着时间的推移，设备种类是否有所改善。
在本试验中，在两个不同时间评估了莱茵兰-普法尔茨州ICU中气道管理设备的可用性。
在2010年和2015年使用结构化问卷联系了该州所有的ICU。评估了不同类型气道管理设备的可用性以及气道管理培训项目的存在情况。
2010年评估了64个ICU的数据，2015年收集了63个ICU的数据集。2010年，8个ICU有间接喉镜；2015年，43个单位可直接使用这些设备（p < 0.0001）。2010年除1个ICU外所有ICU都有声门上设备，2015年所有ICU都有。几乎每个ICU（n = 60）都有紧急手术气道操作设备。二氧化碳监测仪的可用性从2010年（n = 12）到2015年（n = 56；p < 0.0001）显著增加。2010年和2015年，分别有23个和32个单位进行了以气道管理为重点的频繁培训（p > 0.05）。
莱茵兰-普法尔茨州的大多数ICU都有广泛的气道管理设备，并且在所评估的时间段内设备种类有显著改善。间接喉镜和二氧化碳监测仪的可用性显著提高。然而，值得注意的是，在一些ICU中仍然缺乏高级气道管理设备。
