Training and experience are more important than the type of practitioner for intubation success 英文参考文献.docVIP
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Training and experience are more important than the type of practitioner for intubation success 英文参考文献
Fouche et al. Critical Care 2013, 17:412
/content/17/1/412
LET TER
Training and experience are more important than
the type of practitioner for intubation success
Pieter F Fouche* , Paul M Middleton and Kristina M Zverinova
1 2 1
See related research by Lossius et al., /content/16/1/R24
A meta-analysis by Lossius and colleagues demonstrated
was not statistically signi? cant. Rapid sequence induction
a higher endotracheal intubation (ETI) success rate for was left out of the ? nal model, because all physicians
physicians compared with nonphysicians [1]. We re-
utilised this induction and its inclusion would needlessly
analysed the data from Lossius and colleagues to in? ate variance.
investigate the relationship between the clinicians’ levels
of training and ETI success rates, utilising the ‘Overview
Lossius and colleagues compared ETI success rates of
highly trained anaesthesiologists and emergency physicians
of included studies’ spreadsheet published online as an from northwestern Europe with paramedics and nurses
additional ? le. We created a variable for a high level of
ETI training taken from the ‘extensively trained’ their meta-analysis included rural basic emergency
description in the ‘EMS manning’ column. We assumed
from the rest of the world [1]. One study incorporated in
medical technicians with no previous ETI experience [2].
the physicians to also be highly trained in ETI, as they Perhaps unsurprisingly, the authors showed increased
entirely comprised emergency physicians and anaesthe-
sio logists. Our multivariate meta-regression analysis,
ETI success rates for highly trained physicians compared
with such a varied group of nonphysicians. However, our
adjusting for the training and the type
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