临床模拟场景中呼吸骤停时的气道管理。儿科住院医师培训项目的经验。

Pub Date : 2024-04-01 Epub Date: 2024-01-04 DOI:10.5546/aap.2023-10172.eng
Julia Lomez, M Belén Rodríguez, Sofía Rigou, Sonia Rojas, Pilar Torterola, Nicolás Fortini Cabarcos, Christian Elias Costa, Diego Enriquez
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引用次数: 0

摘要

简介:呼吸衰竭是小儿心脏骤停最常见的原因。呼吸衰竭是导致儿科心脏骤停的最常见原因。充分认识和处理呼吸衰竭至关重要。模拟训练可用于提高医疗技能。本研究旨在确定儿科住院医师在模拟中心识别儿童呼吸骤停的比例。研究方法这是一项针对 77 名住院医师的观察性研究。模拟了一名呼吸窘迫并发展到呼吸骤停的患者。结果。在 77 名参与者中,48 人(62.3%)识别出呼吸骤停。识别呼吸骤停的平均时间为 38.16 秒。结论。62.3%的参与者识别出呼吸骤停。其中,平均识别时间为 38.16 秒。一些预期干预措施严重失效。
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Airway management during a respiratory arrest in a clinical simulation scenario. Experience at a pediatric residency program.

Introduction. Respiratory failure is the most common cause of cardiac arrest in pediatrics. Recognizing and managing it adequately is critical. Simulation is used to improve medical skills. The objective of this study was to establish the proportion of pediatric residents who recognized a respiratory arrest in a child at a simulation center. Methods. This was an observational study in 77 residents. A simulation of a patient with respiratory distress that progressed to respiratory arrest was used. Results. Among the 77 participants, 48 recognized respiratory arrest (62.3%). The mean time to recognize respiratory arrest was 38.16 seconds. Conclusion. Respiratory arrest was recognized by 62.3% of participants. Among those who did so, the average time was 38.16 seconds. Severe failures were noted in some of the expected interventions.

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