Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, T-1218 Medical Center North, 1211 Medical Center Drive, Nashville, TN, 37232, USA.
Division of Pulmonary and Critical Care Medicine, University of California San Francisco, San Francisco, CA, USA.
Crit Care. 2020 Oct 22;24(1):621. doi: 10.1186/s13054-020-03317-3.
Endotracheal intubation (EI) is a potentially lifesaving but high-risk procedure in critically ill patients. While the ACGME mandates that trainees in pulmonary and critical care medicine (PCCM) achieve competence in this procedure, there is wide variation in EI training across the USA. One study suggests that 40% of the US PCCM trainees feel they would not be proficient in EI upon graduation. This article presents a review of the EI training literature; the recommendations of a national group of PCCM, anesthesiology, emergency medicine, and pediatric experts; and a call for further research, collaboration, and consensus guidelines.
气管插管(EI)是危重病患者有潜在救生但高风险的程序。虽然 ACGME 要求肺和重症监护医学(PCCM)的学员在该程序中达到熟练程度,但在美国,EI 培训的差异很大。一项研究表明,40%的美国 PCCM 学员认为他们毕业后不会精通 EI。本文回顾了 EI 培训文献;来自 PCCM、麻醉学、急诊医学和儿科专家的一个国家小组的建议;并呼吁进一步研究、合作和共识指南。