Instruction of airway management skills during anesthesiology residency training
Instruction of airway management skills during anesthesiology residency training
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DOI：
10.1016/s0952-8180(02)00503-2
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发表时间：
2003-03-01
影响因子：
6.7
通讯作者：
Saad-Eddin, HE
中科院分区：
文献类型：
--
作者：
Hagberg, CA;Greger, J;Saad-Eddin, HE
背景：困难气道管理是麻醉学培训和实践的一个重要方面。一项调查进行了美国麻醉住院医师计划，以确定一个特定的气道旋转和course.Methods的患病率：通过电子邮件和传真问卷发送给所有132名董事的美国麻醉住院医师programmes.Results：在132个项目的调查，79（60%）回答。在应答者中，26个程序（33%）有困难的气道旋转。在13个（49%）项目的临床培训期间提供了轮换，其中16个（61%）项目的轮换持续时间为1周。在18个（69%）方案中，在轮换之前进行了正式指导。在22个（85%）的项目中，通常对手术患者进行指导，在20个（77%）的项目中，对阿萨I和II级患者进行指导，在20个（78%）的项目中，由选定的教师授课。在16个（62%）程序中使用这些设备时，有2- 5分钟的时间限制或最大尝试次数。在5个（19%）项目中，有关于器械使用的病例数要求。居民进行了评估，在63%的这些programmes.Discussion的技能测试和书面评价：与气道旋转的程序，灵活的纤维支气管镜和喉罩气道代表最常用的设备，不包括标准喉镜。对更具侵入性的技术的重视程度最低。传统的教学方法继续比非传统方法更经常地使用。(C)2003年，Elsevier Science Inc.
Background: Difficult airway management is a critical aspect of anesthesiology training and practice. A survey was conducted of American anesthesia residency programs to determine the prevalence of a specific airway rotation and its curriculum.Methods: A questionnaire was sent by both e-mail and fax to all 132 directors of American anesthesiology residency programs.Results: Of the 132 programs surveyed, 79 (60%) responded. Of the responders, 26 programs (33%) have a difficult airway rotation. The rotation was offered throughout the years of clinical training in 13 (49%) of the programs and was of 1-week duration in 16 (61%) of these programs who had a rotation. Formal instruction was administered before the rotation in 18 (69%) of the programs. Instruction was usually performed on surgical patients in 22 (85%) of the program, ASA status I and II patients in 20 (77%) of the programs, and taught by selected faculty in 20 (78%) of the programs. There was a 2- to 5-minute time limitation or a number of maximum attempts when using any of these devices in 16 (62%) programs. There was a case number requirement regarding the use of the devices in 5 (19%) of the programs. Residents were evaluated by both skills testing and written evaluation in 63% of these programs.Discussion: Of the programs with an airway rotation, the flexible fiberoptic bronchoscope and the laryngeal mask airway represent the most frequently used devices, excluding the standard laryngoscopes. There is minimum emphasis on more invasive techniques. Traditional methods of instruction continue to be utilized more frequently than nontraditional methods. (C) 2003 by Elsevier Science Inc.