基于模拟的培训对bougie辅助cricothyrotomy技术的影响:一项准实验性研究
Ying Zhou1, Huibin Gao1, Qianyu Wang1
1Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Shijingshan District, Beijing, 100144, China.
BMC medical education
|March 30, 2024
概括
一个新的培训课程有效地提高了麻醉师的cricothyrotomy技能. 这种基于模拟的方法提高了程序的速度,准确性和对执行这一关键气道技术的信心.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 航空航线管理的管理.
背景情况:
- 甲状腺切除术是一个关键的,救命的程序,用于新兴的气道访问.
- 由于发病率低,临床经验有限,这对麻醉科医生来说是一个培训挑战.
- 开发有效,可访问的培训对于熟练度至关重要.
研究的目的:
- 开发一个多感官,可访问的培训课程,用于cricothyrotomy.
- 为了评估这种基于模拟的培训计划的有效性.
- 增强麻醉科医生在执行cricothyrotomy时的信心和能力.
主要方法:
- 70名经过董事会认证的麻醉师参与了这项研究.
- 培训包括一个教学视频,一个模拟器上的专家演示,以及一个小时的练习.
- 在培训前和培训后评估技能,使用检查清单,全球评级表 (GRS) 和信心调查问卷.
主要成果:
- 程序完成时间在培训后显著减少 (中位数为59.0s与85.0s).
- 检查清单和GRS分数显著改善,表明技术能力提高.
- 在课程结束后,参与者对进行cricothyrotomy的信心明显增加.
结论:
- 使用自制模拟器进行基于模拟的训练对于教学cricothyrotomy是有效的.
- 开发的课程成功地提高了麻醉师的技能和信心.
- 可访问的模拟为训练罕见但关键程序提供了可行的解决方案.
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