中国麻醉医师如何记录和交流困难气道管理。

IF 2.3 3区 医学 Q2 ANESTHESIOLOGY
Xiang Luo, Dong Yang, Xiao-Ming Deng, Qian-Yu Wang, Xi-Yu Du
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引用次数: 0

摘要

背景:根据中华医学会麻醉学分会的建议,有困难气道的患者应被记录并通知医护人员,这将为医护人员在管理气道时提供直接参考。然而,这一举措的执行情况仍不明确。本研究旨在调查整形外科医院困难气道通知的现状和需求,并探讨导致不遵守的因素:方法:对整形外科医院的麻醉师、外科医生和患者分别进行了有关困难气道处理通知的问卷调查。问卷调查了参与者对困难气道通知的态度和当前做法。此外,还就导致不遵守规定的障碍提出了问题:共获得并分析了 632 份有效回复,回复率为 99.21%。399名患者(89.46%)认为麻醉医师告知他们气道困难非常重要,91.03%的患者认为收到气道评估信非常重要。然而,有 22 名麻醉医师(64.7%)报告称,在手术后口头告知困难气道的患者不足 50%,只有 4 名麻醉医师告知了他们遇到的所有患者。大多数外科医生(91.22%)和麻醉科医生(91.18%)认为口头告知患者至关重要,而 114 名外科医生(77.03%)和 31 名麻醉科医生(91.18%)认为填写困难气道通知提示至关重要。在导致不遵守的因素中,17 人(34.69%)认为缺乏强制性规定,9 人(18.37%)认为工作量增加,8 人(16.33%)认为缺乏通知方法:尽管困难气道的发生率很高,但整形外科医院对困难气道通知的遵从度仍然很低。结论:在整形外科医院,尽管困难气道的发生率很高,但通知困难气道的依从性仍然很低,尽管麻醉师、外科医生和患者都非常支持通知困难气道。影响遵从性的障碍包括缺乏完善的通知系统和通知方式,如困难气道警报表。这可能会促使麻醉学会公布通知系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How China anesthesiologists document and communicate difficult airway management.

Background: According to the Chinese Society of Anesthesiology, it is recommended that patients with difficult airways be documented and notified, which will provide healthcare professionals with a direct reference when managing airways. However, compliance with this initiative remains unclear. This study was conducted to investigate the current status and need for difficult airway notification at Plastic Surgery Hospital and to explore the factors contributing to noncompliance.

Methods: Anesthesiologists, surgeons, and patients in Plastic Surgery Hospital were administered separate questionnaires regarding notification of difficult airway management. Participants were surveyed regarding their attitudes and current practices regarding difficult airway notification. In addition, questions were asked regarding the barriers that contribute to noncompliance.

Results: A total of 632 valid responses were obtained and analyzed, giving a response rate of 99.21%. 399 patients (89.46%) felt it was very important for anesthesiologists to inform them about their difficult airway, and 91.03% felt it was very important for them to receive a letter of their airway assessment. However, twenty-two anesthesiologists (64.7%) reported verbally informing less than 50% of patients about their difficult airway after surgery, and only four anesthesiologists informed all patients they encountered. Most surgeons (91.22%) and anesthesiologists (91.18%) believe that it is vital to inform patients verbally, while 114 surgeons (77.03%) and 31 anesthesiologists (91.18%) believe that it is essential to complete a difficult airway notification alert. Among the factors causing noncompliance, 17 (34.69%) believed that absence of mandatory rules, 9 (18.37%) believed that increased workload, and 8 (16.33%) believed that notification methods were lacking.

Conclusions: The compliance to difficult airway notification remains low in Plastic Surgery Hospital despite the high incidence of difficult airways. Although anesthesiologists, surgeons, and patients are strongly in favor of it. Among the barriers to compliance were the absence of a well-developed notification system and a means of notification such as an alert form for difficult airways. This may spur the anesthesiology society to publish the notification system.

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来源期刊
BMC Anesthesiology
BMC Anesthesiology ANESTHESIOLOGY-
CiteScore
3.50
自引率
4.50%
发文量
349
审稿时长
>12 weeks
期刊介绍: BMC Anesthesiology is an open access, peer-reviewed journal that considers articles on all aspects of anesthesiology, critical care, perioperative care and pain management, including clinical and experimental research into anesthetic mechanisms, administration and efficacy, technology and monitoring, and associated economic issues.
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