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題 名 | 急診室施行快速依序插管之認知調查--快速省時、抑或相反?=The Survey of Recognition for Rapid Sequence Intubation in the Emergency Department-Time-Saving or Extra-Loading? |
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作 者 | 莊佳璋; 黃振茂; 紀志賢; 趙文杏; 林宏榮; 蔡明哲; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 3:3 2001.09[民90.09] |
頁 次 | 頁17-24 |
分類號 | 419.39 |
關鍵詞 | 快速依序性插管; 急診護理人員; 觀察性研究; 問卷調查; Rapid sequence intubation; Safety airway; Nursing care; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:調查急診護理人員對快速依序性管(rapid sequence intubation, RSI)及接受度如何。 方法:本文為一察性研究,自民國八十九年十一月至九十年三月間對臺南地區各教學醫院急診護理人員作全面性的急診插管問卷調查。 結果:研究期間共發出162份問卷,有效回收率為98.8% (160/162)。其中聽過RSI較以往氣管插管程序複雜的佔54.8%(40/73),但69.9%(51.73)的受訪者覺得使用RSI成功率較高且較人性化。在RSI時最常使用的藥物依序為succinylcholine(80.8%)、dormicum(76.7%)、lidocaine (72.6%)、fentanyl (63.0%)。 結論:如何簡化RSI的流程並落實RSI的觀念是我們需要努力的方向。 |
英文摘要 | Objective: The aim of this study was to evaluate emergency nurses awareness of RSI and to assess the response of nurses to RSI in the ED. Method: an observational study was conducted in the ED of teaching hospitals in southern Taiwan November 2000 and March 2001. a survey questionnaire investigated experience with RSI assisting, RSI preparation time, success rates and ED nursing impressions of how humane the procedure was. Results: Of the 162 subjects enrolled over the study period, 160 responded (98.8%). The concept of RSI had been encountered by 115 subjects, but only 73 had assisted with RSI procedures: Of these, 40 subjects felt that RSI was more time consuming than conventional incubation. Fifty-one subjects reported a higher success rate, which seemed to be in accord with humanitarian motivations for using RSI. The premeditations used for RSI were (in order of frequency): succinylcholine (80.8%), dormicum (76.7%), lidocaine (72.6%) and fentanyl (60.3%). Conclusion: To simplify the RSI procedure and to develop a practical RSI protocol remains a challenging but important goal. |
本系統中英文摘要資訊取自各篇刊載內容。