超声波导向的乳叶膜区块模拟训练在紧急医疗住院计划中的培训
Bumin Kong1, Sophia Zabadayev1, Joshua Perese1
1Emergency Department, Loma Linda University Medical Center, Loma Linda, USA.
Cureus
|February 19, 2024
概括
超声导向的腹膜下垂体区块 (UFIB) 有效地管理老年人骨折疼痛. 培训紧急医疗人员显著提高了UFIB的舒适度和成功率,尽管时间限制限制了其使用.
科学领域:
- 紧急医疗 紧急医疗
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 老年人关节骨折在急诊室 (ED) 带来了重大的镇痛挑战.
- 抗阿片类药物的超声波导向腹膜下 iliaca 分隔块 (UFIB) 为骨骨折疼痛提供了一个安全有效的替代方案.
研究的目的:
- 调查UFIB对紧急医疗 (EM) 住院医生的教学能力.
- 评估UFIB培训是否提高了其在ED环境中的实用性.
主要方法:
- 开发UFIB程序培训的模拟模型.
- 16名EM居民参加了研讨会前的调查和UFIB实践研讨会.
- 研讨会前后对UFIB执行的舒适度和信心水平的分析.
主要成果:
- 在执行UFIB时,居民的舒适度增加了大约50% (p < 0.01).
- 在培训后,UFIB的成功率显著增加了460% (p < 0.05).
- 尽管提高了技能,但44%的居民表示"缺乏时间"是利用UFIB的障碍.
结论:
- 一个为期一小时的研讨会有效地改善了EM住院人员的舒适度和UFIB治疗骨折疼痛的成功.
- 由于在临床轮班期间的时间限制,UFIB的使用不足仍然存在.
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