Tezcan Keleş Gönül, Özbilgin Şule, Uğur Levent, Birbiçer Handan, Akın Şule, Kuvaki Bahar, Doruk Nurcan, Türkan Hülya, Akan Mert
Department of Anaesthesiology and Intensive Care, Celal Bayar University Faculty of Medicine, Manisa, Turkey.
Department of Anaesthesiology and Intensive Care, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
Turk J Anaesthesiol Reanim. 2021 Feb;49(1):30-36. doi: 10.5152/TJAR.2021.136. Epub 2021 Mar 1.
Globally, previously determined teams activated by 'code blue' calls target rapid and organised responses to medical emergency situations. This study aimed to evaluate the cardiopulmonary resuscitation (CPR) conditions in Turkey.
A web-based survey was sent to anaesthesiologists in Turkey via email. The survey included 36 questions about demographic features and 'code blue' practices and procedures.
A total of 180 participants were included. The mean working duration was 16.1±7.5 years. Of the anaesthesiologists who participated, 35% worked in university, 26.1% in education and research, 1.7% in city hospitals, 18.9% in state hospitals and 18.3% in private hospitals; 68.3% had CPR certification. There were code blue systems in 97.6% of the organisations. For code blue calls, 71.9% were activated by calling '2222'. There were 41.5% organisations with code blue teams of 3-4 people, whereas 26.7% had 2-member teams. Among call responders, 68.5% were anaesthesia technicians/paramedics, 60.7% were anaesthesiologists and 42.7% were anaesthesia assistants. In organisations, 66.3% regularly conducted code blue training. In total, 63.3% of the participants stated that the time to reach the location was nearly 2-4 minutes. During CPR, the use of capnography was 18.3%. Of the participants, 73.8% chose endotracheal intubation as priority airway device during CPR.
Today, code blue practice is an important quality criterion for hospitals. This study shows the current status of 'code blue' according to the results of respondent data completing the survey. To prevent in-hospital cardiac arrest, a chain of preventive measures should be established, including personnel training, monitoring of patients, recognition of patient deterioration, the presence of a call for help system and effective intervention.
在全球范围内，先前确定的由“蓝色代码”呼叫启动的团队旨在对医疗紧急情况做出快速且有组织的反应。本研究旨在评估土耳其的心肺复苏（CPR）情况。
通过电子邮件向土耳其的麻醉医生发送了一项基于网络的调查。该调查包括36个关于人口统计学特征以及“蓝色代码”实践与程序的问题。
总共纳入了180名参与者。平均工作时长为16.1±7.5年。参与调查的麻醉医生中，35%在大学工作，26.1%在教育与研究机构，1.7%在城市医院，18.9%在国立医院，18.3%在私立医院；68.3%拥有CPR认证。97.6%的机构设有蓝色代码系统。对于蓝色代码呼叫，71.9%是通过拨打“2222”启动的。41.5%的机构拥有3至4人的蓝色代码团队，而26.7%的机构拥有2人团队。在呼叫响应人员中，68.5%是麻醉技术员/护理人员，60.7%是麻醉医生，42.7%是麻醉助理。在各机构中，66.3%定期开展蓝色代码培训。总体而言，63.3%的参与者表示到达现场的时间接近2至4分钟。在心肺复苏期间，二氧化碳波形图的使用率为18.3%。在参与者中，73.8%在心肺复苏期间选择气管插管作为优先气道装置。
如今，蓝色代码实践是医院的一项重要质量标准。本研究根据完成调查的受访者数据结果展示了“蓝色代码”的当前状况。为预防院内心脏骤停，应建立一系列预防措施，包括人员培训、患者监测、识别患者病情恶化、设有求助系统以及有效干预。
