• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Prehospital emergency care >Review of endotracheal intubations by Ottawa advanced care paramedics in Canada.
【24h】

Review of endotracheal intubations by Ottawa advanced care paramedics in Canada.

机译：加拿大渥太华高级护理人员对气管插管进行了回顾。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVES: In the last several years, the National Association of EMS Physicians (NAEMSP) has called for better reporting on prehospital endotracheal intubation (ETI) and has provided guidelines and tools for better systematic review. We sought to evaluate the success of prehospital, non-drug-assisted ETI performed by Ottawa advanced care paramedics (ACPs) based on those guidelines. METHODS: A retrospective review was conducted on ETI performed by Ottawa ACPs over a 25-month period to determine the overall success rate of ETI. To qualify our results, descriptive analysis was conducted on demographic data. The relationships between success rate, patient demographic data, and preintubation conditions were examined. RESULTS: Overall success rate of ACP prehospital, non-drug-assisted ETI was 82.1% (95% confidence interval [CI]: 79.6, 84.3), representing a decreased value in comparison with the 90.7% of the previous study (p < 0.001). The study population comprised 1,029 intubated patients, the majority being adults (98.4%), with a mean age of 65.4 years (standard deviation [SD] 18.4). ETIs were successful for 64.6% (95% CI: 61.7, 67.5) of the first attempts; 79% of successful intubations were achieved within two attempts. ETI achievement was correlated with patients' age, with patients designated as vital signs absent (VSA), with those having a preintervention Glasgow Coma Scale (GCS) score of 3, and with those who were orally intubated (p < 0.05). Gender, weight, the nature (medical and trauma) of patient types, and locations of ambulance calls were found not to be related to the overall intubation success. CONCLUSIONS: This study reported the success rate of non-drug-assisted, prehospital ETI by ACPs in the Ottawa region. Our findings emphasize the importance of quality assessment for individual emergency medical services systems, to ensure optimum performance in ETI practice over time, and for intubation skill-retention training.
机译：目标：在过去的几年中，美国国家急诊医师协会（NAEMSP）呼吁更好地报告院前气管内插管（ETI），并提供了指南和工具以进行更好的系统检查。我们试图根据这些指南评估渥太华高级护理护理人员（ACP）进行的院前非药物辅助ETI的成功性。方法：对渥太华ACP在25个月内进行的ETI进行回顾性审查，以确定ETI的总体成功率。为了使我们的结果合格，对人口数据进行了描述性分析。检查成功率，患者人口统计学数据和插管前状况之间的关系。结果：ACP院前非药物辅助ETI的总体成功率为82.1％（95％置信区间[CI]：79.6，84.3），与先前研究的90.7％相比，值有所降低（p <0.001） ）。研究人群包括1,029名插管患者，大多数为成年人（98.4％），平均年龄为65.4岁（标准差[SD] 18.4）。 ETI成功进行了64.6％（95％CI：61.7，67.5）。两次尝试均成功完成了79％的插管。 ETI成就与患者年龄，指定为无生命体征（VSA）的患者，干预前格拉斯哥昏迷量表（GCS）评分为3的患者以及经口插管的患者相关（p <0.05）。发现性别，体重，患者类型的性质（医疗和创伤）以及急救电话的位置与总的插管成功率无关。结论：这项研究报告了渥太华地区非药物辅助的ACP在院前ETI的成功率。我们的研究结果强调了质量评估对于单个紧急医疗服务系统，确保ETI实践随时间推移的最佳性能以及插管技能保留培训的重要性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号