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

Critical Care

Aaron M. Joffe¹  Wesley H. Self²  Meredith E. Pugh³  Wade Brown³  P. O’Neal Maynord⁴  Anna K. Brady⁵  Lekshmi Santhosh⁶  Abesh Niroula⁷  W. Graham Carlos⁸  Joshua L. Denson⁹ 

[1] Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA;Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA;Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, T-1218 Medical Center North, 1211 Medical Center Drive, 37232, Nashville, TN, USA;Division of Pediatric Critical Care Medicine, Monroe Carell Jr. Children’s Hospital at Vanderbilt and Vanderbilt University School of Medicine, Nashville, TN, USA;Division of Pulmonary and Critical Care Medicine, Oregon Health Science University, Portland, OR, USA;Division of Pulmonary and Critical Care Medicine, University of California San Francisco, San Francisco, CA, USA;Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Emory University School of Medicine, Atlanta, GA, USA;Division of Pulmonary, Critical Care, Sleep and Occupational Medicine, Indiana University School of Medicine, Indianapolis, IN, USA;Section of Pulmonary, Critical Care, and Environmental Medicine, Tulane University School of Medicine, New Orleans, LA, USA;

关键词: Intubation, intratracheal;    Education;    Emergency medicine;    Critical care;    Anesthesiology;    Teaching;    Critical illness;    Laryngoscopy;    Manikins;    Learning curve;    Education, medical, graduate;    Consensus;    Guideline;   

DOI  :  10.1186/s13054-020-03317-3

来源: Springer

【 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.

【 授权许可】

CC BY