Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Department of Trauma Surgery, Wiener Neustadt State Hospital, Wiener Neustadt, Austria.
Eur J Trauma Emerg Surg. 2023 Jun;49(3):1337-1341. doi: 10.1007/s00068-022-02211-7. Epub 2023 Jan 19.
The purpose of this study was to evaluate the applicability and potentially associated harms of emergency access to the femoral artery and vein in a sample of physicians working together in the emergency department of a level I trauma center. In addition, to investigate whether there are differences between participants in terms of different levels of training.
A sample of 36 orthopedic trauma and anesthesiology assistant doctors, specialists, and senior physician was recruited from the emergency room management at a level I trauma center in Graz, Austria. Emergency approach to the femoral vessels was performed on 33 fresh cadavers. Attention was paid to time, successful clamping of the vessels, self-assessment and learning curve.
The approach was performed correctly in 97.2% (35/36) of all cases. 97.2% of all participants (35/36) were confident to perform the emergency access. They were proven right, since especially the resident and senior subgroups achieved satisfactory results concerning the correct performance of the approach to the femoral vessels as well as correct identification of the femoral artery and vein.
In conclusion, we evaluated the emergency access to the femoral artery (FA) and femoral vein (FV) as an easily teachable procedure including high success rates (correct performance in 97.2%).
本研究旨在评估在一级创伤中心急诊科合作的一组医生中，紧急进入股动脉和股静脉的适用性和潜在相关危害。此外，还调查了参与者在不同培训水平方面是否存在差异。
从奥地利格拉茨一级创伤中心的急诊科管理层招募了 36 名骨科创伤和麻醉学助理医生、专家和高级医师作为样本。在 33 具新鲜尸体上进行了紧急股血管入路。注意时间、血管成功夹闭、自我评估和学习曲线。
在所有病例中，97.2%（35/36）的病例均正确进行了入路。97.2%（35/36）的所有参与者均对进行紧急入路有信心。他们是正确的，因为特别是住院医师和高级亚组在正确进行股血管入路以及正确识别股动脉和股静脉方面取得了令人满意的结果。
总之，我们评估了紧急进入股动脉（FA）和股静脉（FV）作为一种易于教授的程序，包括高成功率（97.2%的正确操作）。
