Burke L P, Osborn N A, Smith J E, Reid A P
Department of Anaesthesia, Selly Oak Hospital, Raddlebarn Road, Birmingham.
Anaesthesia. 1996 Jan;51(1):81-3. doi: 10.1111/j.1365-2044.1996.tb07661.x.
We have compared the progress of anaesthetists taught fibreoptic techniques on awake patients in ear, nose and throat clinics with that of anaesthetists taught by traditional methods. Twelve anaesthetists participated in the study and were randomly allocated to the ear, nose and throat group or to the traditional training group. Each individual in the ear, nose and throat group attended the outpatient clinic and performed ten nasendoscopies on awake patient, whose upper airway had been anaesthetised with cocaine, under the supervision of an ear, nose and throat surgeon. Each individual in the traditional roup performed ten nasendoscopies on anaesthetised oral surgery inpatients under the supervision of an anaesthetist. To assess the effectiveness of the two training methods, each anaesthetist in each group then attempted ten fibreoptic nasotracheal intubations on anaesthetised oral surgery patients. There was no significant difference between either the success rates or mean successful tracheoscopy times between the two groups. Nasendoscopy training in the ear, nose and throat clinic appears to be good way of learning fibreoptic skills, which can then be readily applied to fibreoptic tracheal intubation in anaesthetic practice.
我们比较了在耳鼻喉科诊所对清醒患者进行纤维光学技术培训的麻醉医生与采用传统方法培训的麻醉医生的进展情况。12名麻醉医生参与了该研究，并被随机分配到耳鼻喉科组或传统培训组。耳鼻喉科组的每位医生在耳鼻喉科外科医生的监督下，到门诊对清醒患者进行了10次鼻内镜检查，这些患者的上呼吸道已用可卡因麻醉。传统组的每位医生在麻醉医生的监督下，对麻醉的口腔外科住院患者进行了10次鼻内镜检查。为评估这两种培训方法的效果，每组中的每位麻醉医生随后尝试对麻醉的口腔外科患者进行10次纤维光学鼻气管插管。两组之间的成功率或平均成功气管镜检查时间均无显著差异。在耳鼻喉科诊所进行鼻内镜检查培训似乎是学习纤维光学技术的好方法，然后可以很容易地应用于麻醉实践中的纤维光学气管插管。
