Survey of the Understanding of Rapid Sequence Intubation by Non-Anesthesiology Residents in a Medical Center

快速氣管內插管的認知及執行：某醫學中心之非麻醉科住院醫師執行快速氣管內插管調查

陳應麟(Ying-Lun Chen) ； 王國新(Kwo-Syin Wang)

《中華民國急救加護醫學會雜誌》 14卷2期 (2003/06) Pp. 57-63

https://doi.org/10.30018/JECCM.200306.0002

摘要

目的：評估某醫學中心內的住院醫師對於快速氣管內插管的認知及執行。
方法：發送一份有關快速氣管內插管技術之基本常識的問卷；分發對象為內科、外科及小兒科住院醫師，詳載內容包括：藥物、環狀軟骨壓按法的用途、氣管內插管的併發症及快速氣管內插管的優點等。
結果：計有123份問卷發出，回收份數為95份，回收率77%，大部分受訪醫師不甚熟識快速氣管內插管的技術，（約佔本次受訪醫師總數97%）。受訪醫師中有91%曾使用midazolam，有88%於插管時曾使用diazepam，惟具使用succinylcholine經驗之醫師人數僅佔本次受訪醫師人數約5%，且僅有11位受訪醫師能正確說出環狀軟骨壓按法的用途。
結論：快速氣管內插管技術具有效及安全之處理，惟本次受訪醫師於執行此技術，緊急處理呼吸道時之經驗及技術應可增進，是推動現階段非麻醉科醫師接受此技術訓練應有其可行性，且有執行上之必要。

關鍵字

快速氣管內插管 ； 呼吸道處理 ； 環狀軟骨壓按法 ； 急診科

並列摘要

Background: To assess the level of understanding of rapid sequence intubation (RSI) by non-anesthesiology residents in a medical center.
Methods: A questionnaire was distributed to medical, surgical, and pediatric residents asking about their basic knowledge of RSI. Data collected included drugs used for RSI, reasons for the use of cricoid pressure, complications of tracheal intubation, and advantages of RSI.
Results: In total, 95 of 123 residents (77%) returned completed questionnaires. Most (97%) were not familiar with the RSI technique. Respondents listed midazolam (91%) and diazepam (88%) as appropriate sedative agents, but only 5% of the residents had used succinylcholine for paralyzing patients during tracheal intubation. Only 11 respondents really understood the main purpose for using cricoid pressure.
Conclusion: Our residents have insufficient knowledge about RSI, and the technique is underused. They need better training in its use.

並列關鍵字

rapid sequence intubation ； airway management ； cricoid pressure ； emergency department