沒插過25支endo的，別說你會插管
Achieving Competence in Basic and Advanced Airway Techniques
For previously untrained interns, 25 to 30 attempts at bag-mask ventilation and intubation were needed to achieve even modest competency.
The amount of experience or training needed to achieve competency in basic airway management techniques is not known. Researchers in Tokyo measured success rates of bag-mask ventilation and intubation in adult general anesthesia patients for 15 interns during a 3-month anesthesia rotation. None of the interns planned to specialize in anesthesia.
Individual competency for either skill was defined as achieving an 80% success rate. Overall, of 695 bag-mask ventilation attempts, 592 (85%) were successful. The median number of attempts to achieve competency was 25. Tracheal intubation was attempted on 679 patients and was successful in 528 (78%). The median number of attempts to achieve competency for tracheal intubation was 29. By the end of the rotation, competency in bag-mask ventilation and tracheal intubation was achieved by 14 and 9 interns, respectively.
Comment: An 80% success rate is grossly inadequate for critical procedures, such as intubation and bag-mask ventilation. This study's findings reinforce the value of practical training in these procedures, and, even more important, the need for extreme vigilance by teaching physicians when novices are involved in airway management.
— Emily L. Brown, MD, and Ron M. Walls, MD, FRCPC, FAAEM
Published in Journal Watch Emergency Medicine June 4, 2010
Citation(s):
Komatsu R et al. Learning curves for bag-and-mask ventilation and orotracheal intubation: An application of the cumulative sum method. Anesthesiology 2010 Jun; 112:1525.
For previously untrained interns, 25 to 30 attempts at bag-mask ventilation and intubation were needed to achieve even modest competency.
The amount of experience or training needed to achieve competency in basic airway management techniques is not known. Researchers in Tokyo measured success rates of bag-mask ventilation and intubation in adult general anesthesia patients for 15 interns during a 3-month anesthesia rotation. None of the interns planned to specialize in anesthesia.
Individual competency for either skill was defined as achieving an 80% success rate. Overall, of 695 bag-mask ventilation attempts, 592 (85%) were successful. The median number of attempts to achieve competency was 25. Tracheal intubation was attempted on 679 patients and was successful in 528 (78%). The median number of attempts to achieve competency for tracheal intubation was 29. By the end of the rotation, competency in bag-mask ventilation and tracheal intubation was achieved by 14 and 9 interns, respectively.
Comment: An 80% success rate is grossly inadequate for critical procedures, such as intubation and bag-mask ventilation. This study's findings reinforce the value of practical training in these procedures, and, even more important, the need for extreme vigilance by teaching physicians when novices are involved in airway management.
— Emily L. Brown, MD, and Ron M. Walls, MD, FRCPC, FAAEM
Published in Journal Watch Emergency Medicine June 4, 2010
Citation(s):
Komatsu R et al. Learning curves for bag-and-mask ventilation and orotracheal intubation: An application of the cumulative sum method. Anesthesiology 2010 Jun; 112:1525.
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