Truitt Brittany A, Ghosh Radhika N, Price Eric W, Du Chenxi, Bai Shasha, Greene Devon, Simon Dawn M, Reeder Walter, Kasi Ajay S
Division of Pediatric Pulmonology, Department of Pediatrics, Emory University, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Pediatric Biostatistics Core, Department of Pediatrics, Emory University, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Clin Pediatr (Phila). 2025 Jul;64(7):936-943. doi: 10.1177/00099228241304480. Epub 2024 Dec 20.
Tracheostomy-related emergencies (TREs) contribute significantly to preventable mortality. The retention of caregiver knowledge and skills acquired through simulation-based training (SBT) is unknown. This study aimed to assess the management of TREs by caregivers who did and did not receive SBT. A questionnaire containing 3 TRE scenarios and frequency of outpatient TREs was administered to 52 caregivers of children with tracheostomies; 34 caregivers had completed SBT. Most caregivers (80%) reported ≥1 TRE since discharge. Only 46% of caregivers answered all 3 TRE questions correctly. No differences were observed in correct responses for accidental decannulation ( = .16), oxygen desaturation ( = .84), and mucus plugging ( = .16) based on the completion of SBT. There were no differences between duration since SBT completion and correct responses for all 3 TRE questions. Caregivers showed knowledge deficiencies in TRE management regardless of SBT completion or duration since SBT. Periodic reassessment of knowledge may create targeted re-education opportunities for TRE management.
气管造口术相关紧急情况（TREs）在可预防的死亡率中占很大比例。通过基于模拟的培训（SBT）获得的护理人员知识和技能的保持情况尚不清楚。本研究旨在评估接受和未接受SBT的护理人员对TREs的管理情况。向52名气管造口术患儿的护理人员发放了一份包含3个TRE场景和门诊TREs发生频率的问卷；34名护理人员完成了SBT。大多数护理人员（80%）报告自出院以来发生了≥1次TRE。只有46%的护理人员正确回答了所有3个TRE问题。基于是否完成SBT，在意外脱管（P = 0.16）、氧饱和度下降（P = 0.84）和黏液堵塞（P = 0.16）的正确回答方面未观察到差异。SBT完成后的时长与所有3个TRE问题的正确回答之间没有差异。无论是否完成SBT或SBT完成后的时长如何，护理人员在TRE管理方面均表现出知识缺陷。定期重新评估知识可能会为TRE管理创造有针对性的再教育机会。
