印度耳鼻咽喉头颈外科住院患者的气管造口术经验——一项调查

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
S. Sanyal, R. Raychowdhury
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引用次数: 0

摘要

背景:气管切开术是耳鼻喉头颈外科(ORL-HNS)实习生在急诊和择期都要进行的一种常见的外科手术。很少有论文专门讨论这一程序中的住院医师培训。我们调查了印度背景下的培训标准。材料与方法:对参加印度耳鼻喉科医师协会年度全国会议的居民进行问卷调查。调查结果是用微软Excel表格制成的。结果:90份问卷在第一年、第二年、第三年(P-1、P-2、P-3)的研究生学员以及老年住院医师(SR)中分发。应答率为47%。大多数受访者(51%)是P-2。择期气管切开术和急诊气管切开术的分布是可变的。在我们的调查中,气管切开术最常见的指征是延长强化治疗单位(ITU)通气(42%)。在择期气管造口术中,主要外科医生是SR或P-3(60%),并使用水平切口(52%)。在紧急情况下,主要外科医生是SR或P-3,首选垂直切口(65%)。大部分受训者采用层析暴露气管;只有6%的人使用单极透热疗法。通过垂直切口和扩张器进入是首选的方法(51%)。49%的应答者在72小时内进行了第一次换管。84%的受训者有信心独立进行紧急气管切开术。结论:ORL-HNS学员应能胜任气管切开术。教师监督的缺乏、步骤的变化和术后管理都会影响结果。标准化的技术和教师监督是优化培训的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tracheostomy Experience among Indian Otolaryngology-Head and Neck Surgery Residents – A Survey
Background: Tracheostomy is a common surgical procedure which otolaryngology-head and neck surgery (ORL-HNS) trainees are expected to perform in both emergency and elective settings. Few papers deal specifically with resident training in this procedure. we surveyed the standard of training in the Indian context. Materials and Methods: A questionnaire-based survey was conducted among residents attending the annual national conference of the Association of Otolaryngologists of India. The results of the survey were tabulated using Microsoft Excel. Results: Ninety questionnaires were circulated among postgraduate trainees in their 1st, 2nd, or 3rd year of training (P-1, P-2, and P-3) as well as senior residents (SR). The response rate was 47%. The majority of the respondents (51%) were P-2. The distribution between elective and emergency tracheostomy was variable. The most common indication for tracheostomy in our survey was prolonged Intensive Therapy Unit (ITU) ventilation (42%). In elective tracheostomy, the primary surgeon was either an SR or P-3 (60%) and used a horizontal incision (52%). In emergencies, the primary surgeon was either an SR or P-3 and preferred a vertical incision (65%). Most trainees exposed the trachea by layer dissection; only 6% used monopolar diathermy. Entry through vertical incision and dilator was the preferred method (51%). The first tube change was performed at 72 h by 49% of the respondents. Eighty-four percent of the trainees were confident of performing emergency tracheostomies independently. Conclusions: ORL-HNS trainees should be competent in tracheostomy. The lack of supervision by faculty, variation in steps, and postoperative management all impact the outcome. A standardized technique and faculty supervision are vital for optimum training.
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来源期刊
Journal of Head & Neck Physicians and Surgeons
Journal of Head & Neck Physicians and Surgeons MEDICINE, GENERAL & INTERNAL-
CiteScore
0.30
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审稿时长
15 weeks
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