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低收入国家卫生专业人员对环状软骨压迫应用的了解:一项单中心调查研究。

The Knowledge of Health Professionals About the Application of Cricoid Pressure in a Low-Income Country: A Single-Center Survey Study.

作者信息

Hunie Metages, Desse Tiruwork, Teshome Diriba, Kibret Simegnew, Gelaw Moges, Fenta Efrem

机构信息

Department of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Department of Internal Medicine, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

Int J Gen Med. 2021 Jan 25;14:273-278. doi: 10.2147/IJGM.S296299. eCollection 2021.

Abstract

BACKGROUND

The application of cricoid pressure requires good knowledge and practice of health professionals who are working in operation theatres to prevent pulmonary aspiration. This study aims to assess the application of cricoid pressure knowledge and practice in health professionals who are working in the operation theatres.

METHODS

This survey-based study was conducted in health care professionals who are working in the operation theatre of Debre Tabor Comprehensive Specialized Hospital from November 1 to December 1, 2020. A structured checklist was used to collect data regarding the knowledge and practice of the application of cricoid pressure.

RESULTS

A total of 43 health professionals who are working in the operation theaters were involved in this study with a response rate of 81%. The correct anatomic position of cricoid cartilage was not identified in 67% of nurses. We found that 78% of anesthetists did not use the nasogastric tube for decompression, and 83% of them complain of difficult intubation during the application of cricoid pressure.

CONCLUSION

Health care professionals who are working in operation theatres had poor knowledge and practice in the application of cricoid pressure.

摘要

背景

环状软骨压迫法的应用需要在手术室工作的医护人员具备丰富的知识和实践经验,以防止肺误吸。本研究旨在评估环状软骨压迫法知识在手术室医护人员中的应用情况及实践水平。

方法

本基于调查的研究于2020年11月1日至12月1日在德布雷塔博尔综合专科医院手术室的医护人员中进行。使用结构化检查表收集有关环状软骨压迫法应用的知识和实践的数据。

结果

共有43名在手术室工作的医护人员参与了本研究,回复率为81%。67%的护士未识别出环状软骨的正确解剖位置。我们发现,78%的麻醉师未使用鼻胃管进行减压,其中83%的人抱怨在应用环状软骨压迫法时插管困难。

结论

在手术室工作的医护人员在环状软骨压迫法的应用方面知识和实践水平较差。

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本文引用的文献

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Cricoid Pressure Controversies: Narrative Review.环状软骨压迫术的争议:叙述性综述
Anesthesiology. 2017 Apr;126(4):738-752. doi: 10.1097/ALN.0000000000001489.
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Rapid-sequence intubation and cricoid pressure.快速顺序诱导插管及环状软骨压迫法
Int J Crit Illn Inj Sci. 2014 Jan;4(1):42-9. doi: 10.4103/2229-5151.128012.

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