A call for collaboration and consensus on training for endotracheal intubation in the medical intensive care unit

被引:5
|
作者
Brown, Wade [1 ]
Santhosh, Lekshmi [2 ]
Brady, Anna K. [3 ]
Denson, Joshua L. [4 ]
Niroula, Abesh [5 ]
Pugh, Meredith E. [1 ]
Self, Wesley H. [6 ]
Joffe, Aaron M. [7 ]
O'Neal Maynord, P. [8 ,9 ]
Carlos, W. Graham [10 ]
机构
[1] Vanderbilt Univ, Med Ctr, Div Allergy Pulm & Crit Care Med, T-1218 Med Ctr North,1211 Med Ctr Dr, Nashville, TN 37232 USA
[2] Univ Calif San Francisco, Div Pulm & Crit Care Med, San Francisco, CA 94143 USA
[3] Oregon Hlth & Sci Univ, Div Pulm & Crit Care Med, Portland, OR USA
[4] Tulane Univ, Sch Med, Sect Pulm Crit Care & Environm Med, 1430 Tulane Ave, New Orleans, LA 70112 USA
[5] Emory Univ, Sch Med, Div Pulm Allergy Crit Care & Sleep Med, Atlanta, GA USA
[6] Vanderbilt Univ, Med Ctr, Dept Emergency Med, Nashville, TN USA
[7] Univ Washington, Sch Med, Dept Anesthesiol & Pain Med, Seattle, WA USA
[8] Monroe Carell Jr Childrens Hosp Vanderbilt, Div Pediat Crit Care Med, Nashville, TN USA
[9] Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA
[10] Indiana Univ Sch Med, Div Pulm Crit Care Sleep & Occupat Med, Indianapolis, IN 46202 USA
关键词
Intubation; intratracheal; Education; Emergency medicine; Critical care; Anesthesiology; Teaching; Critical illness; Laryngoscopy; Manikins; Learning curve; medical; graduate; Consensus; Guideline; AIRWAY MANAGEMENT; EMERGENCY-MEDICINE; DIFFICULT AIRWAY; LEARNING-CURVE; COMPLICATIONS; LARYNGOSCOPY; ICU; ANESTHESIOLOGIST; INTERVENTION; SPECIALIST;
D O I
10.1186/s13054-020-03317-3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Endotracheal intubation (EI) is a potentially lifesaving but high-risk procedure in critically ill patients. While the ACGME mandates that trainees in pulmonary and critical care medicine (PCCM) achieve competence in this procedure, there is wide variation in EI training across the USA. One study suggests that 40% of the US PCCM trainees feel they would not be proficient in EI upon graduation. This article presents a review of the EI training literature; the recommendations of a national group of PCCM, anesthesiology, emergency medicine, and pediatric experts; and a call for further research, collaboration, and consensus guidelines.
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页数:4
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