Huang Jeffrey, Huang Xiaofeng, Guan Yin, Wang Xiaobin, Mishra Shovna
Anesthesiology, University of Central Florida College of Medicine, Orlando, USA.
Anesthesiology, Gansu Provincial Cancer Hospital, Lanzhou, CHN.
Cureus. 2020 Feb 1;12(2):e6838. doi: 10.7759/cureus.6838.
The use of an emergency manual can improve team performance on critical steps during crisis events. Measures of improved performance have so far been captured through survey and simulation data; however, real-life case studies showing successful use of the manuals are fewer in number. The case of a patient with an unexpected rupture of the pulmonary artery, hypoxemia, and bradycardia during a video-assisted thoracic surgery lobectomy is described here. Relevant sections of Stanford University Operating Room Emergency Manuals were activated immediately and used during the rescue. The team of surgeons, anesthesiologists, and nurses managed the crisis in an orderly, smooth, and efficient manner, and the patient recovered without any complication. The use of the emergency manual reinforced by regular simulation-based training benefited the team and ultimately, the patient's safety.
使用应急手册可以提高团队在危机事件关键步骤中的表现。到目前为止，通过调查和模拟数据获取了表现改善的相关指标；然而，显示成功使用手册的实际案例研究数量较少。本文描述了一例在电视辅助胸腔镜手术肺叶切除术中出现肺动脉意外破裂、低氧血症和心动过缓的患者案例。斯坦福大学手术室应急手册的相关章节立即启动并在救援过程中使用。外科医生、麻醉师和护士团队有序、顺利且高效地应对了危机，患者康复且无任何并发症。通过基于模拟的定期培训强化使用应急手册，使团队受益，并最终保障了患者的安全。
