牙科核心学员在手术室时血管迷走神经性发作的经验

Rosalind Baker, R. Singh
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引用次数: 0

摘要

血管迷走神经性晕厥和晕厥,而参加手术室的医疗学员中有报道。然而,没有关于牙科实习生的此类研究。本研究的目的是调查牙科学员对这些事件的发生率、预防措施和态度。一份匿名的在线调查问卷被发送给泰晤士河谷和威塞克斯地区的所有牙科核心学员(n = 34)。其中19人参与(56%的回复率)。10例(53%)经历过晕厥前或晕厥发作。大多数患者在一次大手术中出现过小插曲。高手术室温度和需要长时间站立是最常见的诱发因素(60%)。采取了几种不同的措施来防止再次发作,90%的受访者报告说这些措施有所帮助。七名受训者表示希望从事外科工作;其中5人经历了血管迷走神经事件。大多数人(78%)认为这不会阻止他们从事外科手术。七名受访者认为,经历过这种情况的学员被认为是一种耻辱。本研究揭示了手术室相关晕厥在牙科实习生中是常见的。我们强调对受训者进行预防战略教育的重要性。
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Dental core trainees’ experience of vasovagal episodes while attending the operating theatre
Vasovagal presyncope and syncope while attending operating theatres have been reported among medical trainees. However, no such studies are available in relation to dental trainees. The aim of this study was to investigate the prevalence, preventative measures and attitudes towards these events among dental trainees. An anonymised online questionnaire was sent to all dental core trainees in the Thames Valley and Wessex regions (n = 34). Nineteen of these participated (56% response rate). Ten (53%) had experienced a presyncopal or syncopal episode. The majority had experienced an episode during a major operation. High operating room temperatures and needing to stand for a long time were reported as the most common predisposing factors (60%). Several different actions were taken to prevent further episodes, with 90% of respondents reporting that these helped. Seven trainees expressed their desire to pursue a surgical career; five of these had experienced a vasovagal event. Most (78%) felt that this would not discourage them from following a career in surgery. Seven respondents felt that there was a perceived stigma about trainees who experienced such an episode. This study revealed that operating theatre related syncope is common among dental trainees. We highlight the importance of educating trainees on preventative strategies.
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