保持紧急cricothyroidotomy技能:一个多中心随机对照试验
Martine Siw Nielsen1,2, Felix Nicolai Raben-Levetzau3, Steven Arild Wuyts Andersen3,4
1SimC-Simulation Center Odense University Hospital Odense Denmark.
AEM education and training
|August 2, 2023
概括
在基于模拟的训练后1个月内,新手紧急cricothyroidotomy技能明显下降. 经常性培训对于保持熟练程度和改善患者安全结果至关重要.
科学领域:
- 医学教育 医学教育
- 进行外科手术技能培训.
- 航空航道管理的管理.
背景情况:
- 紧急cricothyroidotomy是一个关键的,不经常的程序,以确保气道.
- 在这种尖的技能中保持熟练是具有挑战性的,因为它很罕见.
- 基于模拟的训练 (SBT) 是有效的,但最佳的再训练间隔是未知的.
研究的目的:
- 评估在紧急cricothyroidotomy基于模拟的培训后新手的技能保留.
- 为了确定技术技能在1,3和6个月的培训后的衰退率.
主要方法:
- 新手完成了SBT,用于紧急的cricothyroidotomy.
- 参与者被随机分配到1,3或6个月后测试的组.
- 用视频录制和盲目评分员的标准化评估工具来评估技能表现.
主要成果:
- 仅在1个月后就观察到显著的技能衰退 (平均得分损失6.7分).
- 技能损失持续,在3个月 (8.2分) 和6个月 (9.9分) 的时间段下降更大.
- 通过率大幅下降:23.1% (1个月),24% (3个月) 和0% (6个月).
结论:
- 在紧急cricothyroidotomy的新手技术技能迅速衰退,从1个月内开始.
- 最初的技能损失稳定了3个月,随后进一步显著下降.
- 定期,反复的培训对于确保持续的能力和提高患者安全至关重要.
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