使用"灵活支气管镜模拟器"进行定期练习是否会提高专家和新手的光纤输管技巧? 一个随机对照研究
Maartje van Haperen1, Tom C P M Kemper1, Jeroen Hermanides1
1Department of Anaesthesiology, Amsterdam University Medical Centres, Location AMC, 1105AZ Amsterdam, The Netherlands.
Journal of clinical medicine
|August 26, 2023
概括
支气管镜模拟器训练并没有改善纤维光学输液管道 (FOI) 在困难的呼吸道中的性能. 虽然信心增加了,但麻醉师在驾驶具有挑战性的气道方面的实际技能没有改变.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 模拟培训培训 模拟培训培训
背景情况:
- 管理困难的呼吸道是麻醉学中持续存在的挑战.
- 柔性支气管镜 (光纤输管) 的使用减少可能导致技能退化.
- 这项研究调查了支气管镜模拟器训练对光纤输管技能的有效性.
研究的目的:
- 评估支气管镜模拟器训练是否可以提高光纤输液管道 (FOI) 技能.
- 评估模拟器训练对模拟困难气道场景中的性能的影响.
- 确定模拟器训练是否会影响压力水平和对 FOI 的信心.
主要方法:
- 72名志愿者 (麻醉师,住院医生,护士) 进行了模拟器练习.
- 参与者被随机分配到干预 (模拟器训练) 和控制组.
- 训练包括12周的敏捷游戏和气道模拟;性能和信心被评估.
主要成果:
- 在困难的气道情况下,在两组之间到达卡里纳的时间没有显著的差异.
- 自我报告的对 FOI 技能的信心在干预组中增加了更多.
- 在基线和12个月后,各组的压力水平在基线和12个月后仍然相似.
结论:
- 在气道模拟器上练习光纤输内管 (FOI) 技能,即使是在敏捷游戏中,在模拟的困难气道场景中也没有提高表现.
- 虽然模拟器训练提高了参与者的信心,但它并没有转化为在具有挑战性的情况下提高客观表现.
- 这些发现表明,目前模拟器培训的局限性是为了提高关键的气道管理技能.
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