Department of Medical Education.
Department of Anesthesiology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Medicine (Baltimore). 2021 May 14;100(19):e25723. doi: 10.1097/MD.0000000000025723.
Tracheal intubation is an essential technique for many healthcare professionals and one of the mega code simulations in advanced cardiac life support. In recent years, video laryngoscopy (VL) has provided a rescue for difficult airways during intubation and has proven to have higher success rates. Moreover, VL facilitates a more rapid learning curve for inexperienced doctors.In this article, we report 16 cases intubated with VL by a novice doctor of postgraduate year 1, who shared the learning experience and the difficulties encountered in this case series. We also conducted a statistical analysis to evaluate the learning outcomes of the trainee after 1 month.Our results showed that the overall first-shot success rate was 81.3% for the 16 objectives. Over time, improvements in intubation performance measures, including shortened duration and lower Intubation Difficulty Scale score, have been observed. In this learning project, we found that limitation of mouth opening (<2.5 fingers wide) is an important risk factor for predicting the initial difficulty of tracheal intubation on the novice trainee.For inexperienced doctors, VL produces high first-shot success rates for tracheal intubation and may be useful for training their performance in a short period of time. In addition, mouth opening <3 fingers wide may result in difficult intubation by novice doctors.
气管插管是许多医疗保健专业人员的基本技术，也是高级心脏生命支持中的 mega code 模拟之一。近年来，视频喉镜（VL）为插管期间的困难气道提供了一种救援手段，并且已经证明其成功率更高。此外，VL 为经验不足的医生提供了更快的学习曲线。在本文中，我们报告了由一名研究生一年级的新手医生使用 VL 插管的 16 例病例，分享了在本系列病例中遇到的学习经验和困难。我们还进行了统计分析，以评估受训者在 1 个月后的学习效果。我们的结果表明，16 个目标的整体首次尝试成功率为 81.3%。随着时间的推移，插管性能指标的改善，包括缩短持续时间和降低插管难度量表评分，已经观察到。在这个学习项目中，我们发现张口度受限（<2.5 指宽）是预测新手学员气管插管初始难度的一个重要危险因素。对于经验不足的医生，VL 可产生高的首次尝试气管插管成功率，并且可能有助于在短时间内训练他们的表现。此外，张口度<3 指可能导致新手医生插管困难。
