目前的做法和态度,关于围手术期使用套管气管插管儿科和新生儿气管插管:一项调查为基础的评估在印度麻醉师

IF 0.2 Q4 ANESTHESIOLOGY Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI:10.4103/TheIAForum.TheIAForum_140_20
P. Motiani, Z. Ahmad, P. Sharma, Anju Gupta, M. Jain, D. Sahu
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引用次数: 0

摘要

引言:儿童使用带套气管插管是有争议的。尽管最近有文献报道儿童使用翻边ETT,但即使在发达国家,其使用率也相对较低。我们进行这项调查是为了探索5岁以下儿童对带帽/未带帽ETT使用的认知和模式。材料和方法:这项描述性的横断面调查是使用专门设计的谷歌表格进行的,该表格在印度执业的任何级别的麻醉师中传阅。根据内容有效性指数的标准化模型,由7名专家在4分量表上对问卷进行了验证,并对指数<0.78的问卷进行了修改。此后,调查问卷通过WhatsApp分发了一个多月,并在一个月内每周发送提醒。结果:总有效率为55%(99/180),排除研究生的反应后,评估了96个反应。不同机构使用儿童套箍ETT的情况相似。只有35.5%的受访者经常使用翻边管。不使用翻边管的常见原因包括担心更高的流动阻力和声门下损伤的风险。那些执行较高儿科病例的麻醉师更倾向于使用带手铐的ETT。40%使用袖带管的受访者定期监测气管内袖带压力。结论:从事儿科麻醉的麻醉师更有可能在5岁以下的儿童中选择带帽ETT。使用这些导管时,没有定期遵守安全规范,如袖带压力监测。
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Current practice and attitudes regarding the perioperative use of cuffed tracheal tubes for pediatric and neonatal tracheal intubation: A survey-based evaluation among Indian anesthesiologists
Introduction: the use of cuffed endotracheal tubes (ETTs) in children is debatable. Despite recent literature on the use of cuffed ETT in children, its use is relatively low even in developed world. We conducted this survey to explore the perceptions and patterns of cuffed/uncuffed ETT usage in children, <5 years of age. Materials and Methods: This descriptive cross-sectional survey was done using a specially designed Google Form that was circulated among anesthesiologists of any grade practicing in India. The questionnaire was validated by seven experts on a 4-point scale as per the standardized model of content validity index and those with an index <0.78 were modified. Thereafter, the questionnaire was circulated over a month through WhatsApp and a reminder was sent every week for a month. Results: The total response rate was 55% (99/180) and after excluding the responses of postgraduates, 96 responses were evaluated. The use of pediatric cuffed ETT was similar among institutions. Only 35.5% of the respondents routinely used cuffed tubes regularly. The common reasons for nonusage of cuffed tubes included fear of higher resistance to flow and risk of subglottic injury. Those anesthesiologists who were performing higher pediatric cases were more inclined to use a cuffed ETT. Endotracheal cuff pressure was monitored routinely by 40% of the respondents who used cuffed tube. Conclusion: Anesthesiologists practicing pediatric anesthesia are more likely to choose cuffed ETT in children aged <5 years. Safety norms such as cuff pressure monitoring are not being followed routinely when these tubes are used.
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来源期刊
Indian Anaesthetists Forum
Indian Anaesthetists Forum ANESTHESIOLOGY-
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审稿时长
6 weeks
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