量化切口器和舌头基础上的输管力,与模拟器中的曝光难度和经验相比
Gavin Davis1, Ronit E Malka2, Austin Moore3
1Ophthalmology, Brooke Army Medical Center, San Antonio, USA.
Cureus
|August 14, 2023
概括
对气道结构的喉学力量的量化对于训练至关重要. 增加的呼吸道困难和操作员的经验显著影响了对牙和舌头底部施加的力.
科学领域:
- 医疗模拟 医疗模拟
- 航道管理是指空中航道管理.
- 医学教育 医学教育
背景情况:
- 直接喉腔镜是空气管道管理中的一个关键技能.
- 目前的模拟器缺乏对关键气道结构的客观力测量能力.
- 评估操作员的专业知识和气道难度对于患者的安全至关重要.
研究的目的:
- 量化在直接喉腔镜检查期间对牙和舌头底部施加的力.
- 评估增加气道难度和操作员专业知识对这些力量的影响.
主要方法:
- 进行了一项前性观察研究,使用配备力度计的难以呼吸道模型进行了观察.
- 医学学生,住院医生和耳鼻喉科工作人员在不同的呼吸道困难条件下进行喉腔镜检查.
- 对切口和舌头底部施加的力量以磅力 (lbf) 计量.
主要成果:
- 切口和舌头底部的力量随着呼吸道困难的增加而显著增加 (p=0.01).
- 耳鼻喉科的工作人员对舌头底部施加的压力明显高于居民 (p=0.02).
- 在最大困难的学生和工作人员中,食道输管率更高.
结论:
- 喉镜力根据气道的难度和操作员的专业知识而异.
- 这些力度测量可以作为有价值的客观标记,用于培训和评估空气管道管理能力.
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