实施了一款具有实时反的新型胸腔管培训器
Shruti Hegde1, Emily Hofman2, Sruthi Dubagunta2
1Surgery, The University of Texas Southwestern Medical Center Medical School, Dallas, Texas, USA.
Trauma surgery & acute care open
|December 20, 2023
概括
这项研究引入了一种新的胸管插入训练模型,具有实时压力监测. 该系统有效地测量了膜入口的力和时间,有助于基于模拟的外科手术技能发展.
科学领域:
- 医疗模拟 医疗模拟
- 进行外科手术培训.
- 医疗设备创新 医疗设备创新
背景情况:
- 基于模拟的培训可以提高临床性能,但需要高质量的方法.
- 胸管插入是一项具有挑战性的手术,受控的胸腔入口是常见的陷.
- 开发有效的培训模型对于提高程序安全和训练员熟练度至关重要.
研究的目的:
- 评估一种用于插入胸管的新型模拟训练模型.
- 在这个模型中评估实时压力监测的有效性.
- 为了确定膜入口所需的平均力,并分析传感器反效用.
主要方法:
- 开发了一种专有训练模型,采用修改后的凯利和力传感器.
- 在13名参与者 (PGY-1至PGY-6) 中测量了膜入口的力 (牛顿) 和时间 (毫秒).
- 专家推导的力值和时间范围被用作成功插入的基准.
主要成果:
- 所有参与者都使用训练模型成功完成了胸管插入任务.
- 腔入口的力范围从17N到30N,完成时间在7500毫秒到15000毫秒之间.
- 传感器数据显示出基于参与者的手性变异性,来自食指传感器 (传感器1) 的力被证明是评估中最一致的.
结论:
- 具有持续压力监测的新型力传感胸管训练器是基于模拟训练的宝贵工具.
- 该模型显示了改善紧急外科任务培训的潜力,包括诸如血管接入和三角管放置等手术.
- 未来的研究应该集中在评估模型对程序准确性和效率的影响上.
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