麻醉护士在麻醉复苏室主导气管拔管李丽玲郭亮

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《实用全科护理学》( ISSN3080-7638、EISSN3080-7646 )

发布者：Quest Press

发布日期：2025/10/21

10.12479/questpress-syqkhlx.20250228

Open Access

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麻醉护士在麻醉复苏室主导气管拔管

李丽玲郭亮

广西南宁市第一人民医院麻醉科，广西南宁，530022

摘要：目的探讨麻醉护士在麻醉后复苏室（PACU）中主导气管拔管的可能性。方法搜索近 15 年关于在 PACU 中由麻醉护士主导气管插管的相关文献，探讨护士经过专门的特殊训练且有已制定的流程，是否能主导为患者撤离机械通气和气管拔管，而无需麻醉科医师或监护室医师。结果在国外一些医院已开展麻醉护士在 PACU 中主导气管拔管，但并未有相关指南或标准。结论目前仍然缺乏证据证实麻醉护士在 PACU 中主导机械通气撤机和拔管的可行性或必要性。
关健词：气管拔管；麻醉后恢复室；高级护理

Anesthesia nurse leads tracheal extubation in the anesthesia

Liling Li Liang Guo
Department of Anesthesiology, The First People's Hospital of Nanning, Nanning, Guangxi 530022, China

Abstract: Objective Exploring the possibility of anesthesia nurses leading tracheal extubation in the post anesthesia resuscitation unit (PACU).Methods Search for relevant literature on endotracheal intubation led by anesthesia nurses in PACU in the past 15 years, and explore whether nurses with specialized training and established procedures can lead the evacuation of mechanical ventilation and tracheal extubation for patients without the need for anesthesiologists or ICU physicians.Results Some hospitals abroad have implemented anesthesia nurses leading tracheal extubation in PACUs, but there are no relevant guidelines or standards.Conclusion At present, there is still a lack of evidence to confirm the feasibility or necessity of anesthesia nurses leading mechanical ventilation withdrawal and extubation in PACU.
Keywords : Tracheal extubation; Recovery room after anesthesia; Advanced Nursing

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