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资源有限环境下的紧急气道管理

Emergency airway management in resource limited setting.

作者信息

Olatunji Gbolahan, Kokori Emmanuel, Aderinto Nicholas, Alsabri Mohammed Alsabri Hussein

机构信息

Department of Medicine and Surgery, University of Ilorin, Ilorin, Nigeria.

Department of Medicine and Surgery, Ladoke Akintola University of Technology, Ogbomoso, Nigeria.

出版信息

Int J Emerg Med. 2024 Mar 14;17(1):41. doi: 10.1186/s12245-024-00607-3.

Abstract

BACKGROUND

Emergency airway management in resource-limited settings presents multifaceted challenges due to shortages in essential medical resources, healthcare professionals, and infrastructure.

METHODS

We conducted a literature search using keywords "Emergency Airway Management" "Low Resource" "Africa" "Asia" from databases such as Pubmed, and Google Scholar, from where we extracted relevant literature for our study.

FINDINGS

These limitations resulted in delayed interventions, suboptimal care, and higher complication rates during intubation procedures. However, innovative solutions have emerged to address these challenges, including cost-effective airway management devices and training programs tailored for non-medical personnel. Capacity building and local empowerment are critical components of improving emergency airway management in these settings. Additionally, advocating for policy support and investment in healthcare infrastructure is essential to ensure access to essential equipment and adequate staffing. Collaboration and knowledge-sharing networks among healthcare professionals and organisations are pivotal in disseminating best practices and advancing healthcare delivery in resource-limited regions.

CONCLUSION

Future efforts should focus on tailored training programs, rigorous research, innovative device development, telemedicine solutions, sustainable capacity building, and advocacy to enhance emergency airway management in resource-limited settings.

摘要

背景

由于基本医疗资源、医疗保健专业人员和基础设施短缺,资源有限地区的紧急气道管理面临多方面挑战。

方法

我们使用关键词“紧急气道管理”“资源匮乏”“非洲”“亚洲”在诸如PubMed和谷歌学术等数据库中进行文献检索,从中提取相关文献用于我们的研究。

研究结果

这些限制导致插管过程中干预延迟、护理不优化以及并发症发生率更高。然而,已经出现了创新解决方案来应对这些挑战,包括具有成本效益的气道管理设备和为非医疗人员量身定制的培训项目。能力建设和地方赋权是改善这些地区紧急气道管理的关键组成部分。此外,倡导政策支持和对医疗基础设施的投资对于确保获得基本设备和充足人员至关重要。医疗保健专业人员和组织之间的合作与知识共享网络对于传播最佳实践和推进资源有限地区的医疗服务至关重要。

结论

未来的努力应集中在量身定制的培训项目、严谨的研究、创新设备开发、远程医疗解决方案、可持续能力建设以及倡导,以加强资源有限地区的紧急气道管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8092/10938719/07985035d0f9/12245_2024_607_Fig1_HTML.jpg

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