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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Percutaneous tracheotomy in otolaryngology-head and neck surgery residency training programs.
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Percutaneous tracheotomy in otolaryngology-head and neck surgery residency training programs.

机译：经耳鼻咽喉头颈外科住院医师培训计划中的经皮气管切开术。

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OBJECTIVES: Percutaneous tracheotomy (PT) has been garnering attention in otolaryngology-head and neck surgery (OTO-HNS) community for many years. This procedure is used routinely by a variety of surgical disciplines; yet its use remains controversial especially in OTO-HNS. The purpose of this study is to understand the current practices pertaining to PT in OTO-HNS training programs. STUDY DESIGN: Multi-institution physician survey. METHODS: A survey of 102 American OTO-HNS residency program directors. RESULTS: The response rate was 80%. 29% of programs perform PT on a regular basis. Ciaglia Blue Rhino method was used by all respondents who could identify the method used. Simultaneous video bronchoscopy was always used by 91% of those who performed PT. Among respondents in programs where PT was not done regularly, 18% felt that it was the method of choice for selected patients; among those in programs where PT was done regularly, 72% felt that it was the method of choice. 64% of respondents indicated that other hospital services regularly performed PT in their institution, and this was evenly split between trauma, general surgery, pulmonology and intensive care unit (ICU). There was no significant difference in this regard between respondents from hospitals that did or did not do PT. 71% of OTO-HNS graduates are not trained in PT. CONCLUSIONS: Only 29% of otolaryngology residency programs in the U.S. perform PT regularly. This study objectively shows that this is a highly polarized subject amongst OTO-HNS but apparently not in medicine in general. Further study is needed to understand the reason for this controversy.
机译：目的：多年来，经皮气管切开术（PT）在耳鼻咽喉头颈外科（OTO-HNS）社区中引起了越来越多的关注。各种外科手术习惯使用该程序。然而，其使用仍存在争议，尤其是在OTO-HNS中。这项研究的目的是了解OTO-HNS培训计划中有关PT的当前做法。研究设计：多机构医师调查。方法：对102位美国OTO-HNS居留计划主管进行的调查。结果：有效率80％。 29％的程序会定期执行PT。所有能够确定所用方法的受访者都使用了Ciaglia Blue Rhino方法。 91％进行PT的患者始终使用同步视频支气管镜检查。在那些不定期进行PT的计划中，有18％的受访者认为这是特定患者的首选方法。在定期进行PT的计划中，有72％的人认为这是一种选择的方法。 64％的受访者表示，其他医院服务机构在其机构中定期进行PT，这在创伤，普外科，肺病学和重症监护病房（ICU）之间平均分配。在做过或未做过PT的医院的受访者之间，这方面没有显着差异。 OTO-HNS毕业生中有71％没有经过PT培训。结论：在美国，只有29％的耳鼻喉科住院医师计划定期进行PT。这项研究客观地表明，这是OTO-HNS中一个高度两极分化的话题，但显然在医学上却并非如此。需要进一步研究以了解引起争议的原因。

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