珀斯皇家医院在 "无法插管、无法吸氧 "的情况下采用插管先行法的病例系列。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Anaesthesia and Intensive Care Pub Date : 2024-05-01 Epub Date: 2024-03-28 DOI:10.1177/0310057X231214548
Andrew Mb Heard, David A Lacquiere, Helen L Gordon, Scott G Douglas, Hans J Avis
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引用次数: 0

摘要

在皇家珀斯医院,19 年来我们一直在开发和教授基于活体动物模拟的 "无法插管、无法吸氧(CICO)"抢救算法。该算法包括 "插管先行 "方法、喷射吸氧以及在必要时逐步使用手术刀技术。这种方法在人类 CICO 情景中的应用鲜有报道。我们介绍了皇家珀斯医院在气道危机中成功实施插管先行法的八个病例。我们建议各医疗机构教授并实践这种方法;我们相信,如果临床医生接受过相关培训并能立即使用必要的设备,这种方法是有效、安全和微创的。这些设备的成本很低,包括一个 14G Insyte 插管、生理盐水、5 毫升注射器和一个 Rapid-O2。可使用低保真人体模型或部分任务训练器进行培训。
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A case series of the Royal Perth Hospital cannula-first approach in the 'can't intubate, can't oxygenate' scenario.

At the Royal Perth Hospital, we have been developing and teaching a can't intubate, can't oxygenate (CICO) rescue algorithm for over 19 years, based on live animal simulation. The algorithm involves a 'cannula-first' approach, with jet oxygenation and progression to scalpel techniques if required in a stepwise fashion. There is little reported experience of this approach to the CICO scenario in humans. We present eight cases in which a cannula-first Royal Perth Hospital approach was successfully implemented during an airway crisis. We recommend that institutions teach and practice this approach; we believe it is effective, safe and minimally invasive when undertaken by clinicians who have been trained in it and have immediate access to the requisite equipment. The equipment is low cost, comprising a 14G Insyte cannula, saline, 5 ml syringe and a Rapid-O2. Training can be provided using low-fidelity manikins or part-task trainers.

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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
150
审稿时长
3 months
期刊介绍: Anaesthesia and Intensive Care is an international journal publishing timely, peer reviewed articles that have educational value and scientific merit for clinicians and researchers associated with anaesthesia, intensive care medicine, and pain medicine.
期刊最新文献
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