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足月儿复苏中医疗保健人员的通气操作与准备情况:奥地利医院的一项综合调查研究

Ventilation practices and preparedness of healthcare providers in term newborn resuscitation: A comprehensive survey study in Austrian hospitals.

作者信息

Schwindt Eva M, Stockenhuber Reinhold, Schwindt Jens Christian

机构信息

STAR - SIMCharacters Training and Research, SIMCharacters Training GmbH, Lehárgasse 1, 1060 Vienna, Austria.

St. Josef Hospital GmbH, Department of Pediatrics and Neonatology, Auhofstraße 189, 1130 Vienna, Austria.

出版信息

Resusc Plus. 2024 Nov 7;20:100817. doi: 10.1016/j.resplu.2024.100817. eCollection 2024 Dec.

DOI:10.1016/j.resplu.2024.100817
PMID:39559729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11570964/
Abstract

AIM OF THE STUDY

Although neonatal resuscitation is rare, and high-risk births usually occur in specialised centres, unexpected resuscitation measures may be necessary during births that are initially considered low-risk. This survey assessed the practices of healthcare providers in Austrian hospitals for postnatal resuscitation and evaluated their self-assessed airway management skills for newborns.

METHODS

An online survey was distributed to all staff members responsible for the postnatal care of newborns in hospitals with obstetrics in Austria through the heads of departments (paediatrics, obstetrics, and anaesthesiology). The results are presented in terms of hospital care level and birth volume.

RESULTS

In total, 79.5 % of all hospitals with maternity units in Austria participated in the survey. Preparedness was found to be improved with the level of care provided by the hospital. Overall, 50.4 % of the respondents did not feel adequately prepared for neonatal emergencies, and 35.0 % rated their face mask ventilation skills as insufficient. According to the survey results in 61.3 % of included hospitals or 52.5 % of births in Austria, safe endotracheal intubation cannot be provided.

CONCLUSION

A significant proportion of healthcare workers in Austria responsible for postnatal newborn care do not feel adequately prepared for newborn emergencies.

摘要

研究目的

尽管新生儿复苏很少见,且高危分娩通常发生在专科中心,但在最初被认为是低风险的分娩过程中,可能仍需要采取意外的复苏措施。本调查评估了奥地利医院医护人员进行产后复苏的做法,并评估了他们对新生儿气道管理技能的自我评估情况。

方法

通过各科室(儿科、产科和麻醉科)负责人,向奥地利设有产科的医院中所有负责新生儿产后护理的工作人员开展在线调查。结果按医院护理水平和分娩量进行呈现。

结果

奥地利所有设有产科的医院中,共有79.5%参与了此次调查。发现准备情况会随着医院提供的护理水平而改善。总体而言,50.4%的受访者认为自己对新生儿紧急情况准备不足,35.0%的人认为自己的面罩通气技能不足。根据调查结果,在奥地利61.3%的纳入医院或52.5%的分娩中,无法进行安全的气管插管。

结论

奥地利很大一部分负责新生儿产后护理的医护人员认为自己对新生儿紧急情况准备不足。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0f/11570964/df4e4de08be7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0f/11570964/7506152de2e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0f/11570964/df4e4de08be7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0f/11570964/7506152de2e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0f/11570964/df4e4de08be7/gr2.jpg

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