在商业模拟人偶的内管道输入过程中力量的比较
Kate E Hughes1, Md Tariqul Islam2, Benjamin Co1
1Emergency Medicine, University of Arizona, Tucson, USA.
Cureus
|September 21, 2023
概括
这项研究发现,使用不同的模拟人形进行内管道输入所需的力有显著的变化. 高马德·哈尔 (Gaumard Hal) 人形被评为在模拟困难的气道中对强力应用最现实.
科学领域:
- 医疗模拟 医疗模拟
- 麻醉学 麻醉学
- 紧急医疗 紧急医疗
背景情况:
- 医疗模拟对于安全地练习内内管道输液至关重要.
- 视频喉腔镜 (VL) 通常需要比直接喉腔镜更少的力.
- 模拟人形用于输入管道的力变异性尚未得到充分理解.
研究的目的:
- 为了比较三种商业玩偶之间的喉腔镜力测量.
- 在正常和困难的气道场景中评估力变化.
- 在模拟人形中评估力反的现实性.
主要方法:
- 49名经验丰富的临床医生在三个人形上 (Laerdal SimMan 3GPlus,Gaumard Hal S3201,CAE Apollo) 使用VL进行了内内输管.
- 抗力传感器在模拟的正常和困难的气道中测量了施加的力 (牛顿).
- 统计分析,包括概括估计方程,比较力测量和科马克-莱汉 (CL) 等级.
主要成果:
- 在人形之间观察到传感器平均压力的显著变化 (p<0.001).
- 对于所有人偶的困难气道场景,需要更高的平均力 (p<0.001).
- 高马德玩偶在输管过程中被评为最现实的力量.
结论:
- 高保真模拟人偶在应用的喉腔镜力中表现出相当大的变化.
- 艰难的气道模拟显示了人形品牌之间的CL等级的显著差异.
- 人形现实主义在力量反中有所不同,高马德·哈尔被经验丰富的临床医生评为最高.
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