在活体中建立和应用cricothyrotomy
Fengxiang Song1, Cailing Han1, Bin Liu1
1Department of Anesthesiology and Perioperative Medicine, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750004, China.
BMC medical education
|August 7, 2023
概括
麻醉科医生可以使用猪喉模型来提高cricothyrotomy技能. 重复练习显著减少了手术时间,提高了对这个关键的气道技术的熟练程度.
科学领域:
- 医学教育 医学教育
- 手术模拟器手术模拟器
- 麻醉学 麻醉学
背景情况:
- 甲状腺切除术是一种罕见但对于紧急气道管理至关重要的手术.
- 麻醉师可能缺乏足够的准备,因为程序的不频繁性质.
- 这项研究解决了有效培训的需要,以提高麻醉师的cricothyrotomy熟练度.
研究的目的:
- 用猪喉和气管来评估一个模拟的cricothyrotomy模型.
- 增强麻醉科医生快速高效地执行cricothyrotomy的能力.
- 通过参与者的反来评估培训模式的实用性.
主要方法:
- 使用切割的猪喉和气管,覆盖着猪皮,创建了一个模拟的cricothyrotomy模型.
- 40名麻醉师参与了手术,分为四组,每组进行三轮手术.
- 记录了程序时间,并在培训后的问卷调查中评估了在利克尔特尺度上感知到的效用.
主要成果:
- 在练习轮中观察到过程时间的显著减少 (轮1:67±29秒,轮2:47±21秒,轮3:36±11秒;P<0.05).
- 参与者报告说,他们在定位cricothyroid膜和进行外科cricothyrotomy方面提高了熟练程度.
- 调查结果显示,对培训课程的实用性感到高度满意.
结论:
- 猪喉和气管模型为cricothyrotomy实践提供了有效的模拟.
- 这种训练方法有助于麻醉师掌握手术并提高性能速度.
- 通过这种模拟训练方法,可以实现精熟地执行cricothyrotomy.
相关概念视频
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
20
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
20
Tracheostomy: Procedure and Tubes
724
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
724
Tracheostomy Care I: Pre-procedural Steps
236
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
236
Endotracheal Intubation I: Procedure
1.7K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.7K
Tracheostomy Care II: Procedure
240
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
240
Tracheostomy Decannulation
237
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
237


