Boyle M F, Hatton D, Sheets C
Wright State University School of Medicine, Department of Emergency Medicine, Dayton, Ohio.
J Emerg Med. 1993 Jan-Feb;11(1):41-5. doi: 10.1016/0736-4679(93)90008-u.
Limited information exists in the current medical literature regarding the performance of surgical cricothyrotomy by flight nurse personnel. We undertook a retrospective review of all flight records from our regional air ambulance service. The flight team transported 2,188 patients during this time; 69 patients required surgical cricothyrotomy for airway access. In all cases, the procedure was performed by a flight nurse working under a predefined airway protocol. Indications for the procedure were predominantly for maxillofacial trauma. A secure airway was established in 98.5% of the cases (68/69). Acute complications involved hemorrhage (3) and placement (3) with a complication rate of 8.7%. We conclude that surgical cricothyrotomy can be performed by well-trained flight nurses with a high success rate and an acceptable complication rate.
目前医学文献中关于飞行护士进行外科环甲膜切开术的信息有限。我们对我们地区空中救护服务的所有飞行记录进行了回顾性研究。在此期间，飞行团队运送了2188名患者；69名患者需要通过外科环甲膜切开术建立气道。在所有病例中，该手术均由一名按照预定义气道方案操作的飞行护士进行。该手术的主要适应症是颌面创伤。98.5%的病例（68/69）成功建立了安全气道。急性并发症包括出血（3例）和置管（3例），并发症发生率为8.7%。我们得出结论，训练有素的飞行护士可以进行外科环甲膜切开术，成功率高且并发症发生率可接受。
