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在急诊医疗住院计划中实施一条带状皮隔间块课程
Jonathan H Brewer1, Jordan Rupp1, Jeremy S Boyd1
1Emergency Medicine, Vanderbilt University Medical Center, Nashville, USA.
Cureus
|May 20, 2024
概括
紧急医疗 (EM) 住院计划中的区域麻醉培训没有标准化. 一个新的课程显著增加了神经阻塞的使用,但在六个月后显示知识损失,需要进一步改进,以长期保留.
科学领域:
- 紧急医疗 紧急医疗
- 麻醉学 麻醉学
- 医疗教育 医学教育
背景情况:
- 急性疼痛是一种常见的急诊室 (ED) 投诉.
- 阿片类药物危机需要替代性急性疼痛管理策略.
- 区域麻醉为ED中急性疼痛提供了一个有希望的替代方案.
研究的目的:
- 定义EM住院区域麻醉培训的能力要素.
- 创建一个可复制的住院培训协议,以增加ED神经阻塞.
- 讨论一个提高舒适度的课程与带 iliaca 隔间块 (FICB).
主要方法:
- 开发一个标准化的区域麻醉培训协议,为EM住院医生.
- 实施一个专注于FICB的课程.
- 评估神经阻塞频率和六个月内居民知识保留.
主要成果:
- 训练方案导致ED中执行的神经阻塞的频率大幅增加.
- 在课程实施后,居民对FICB的舒适性和熟练程度得到了改善.
- 在六个月的随访中,观察到知识保留的显著损失.
结论:
- 标准化的区域麻醉培训可以增加ED中神经阻塞的利用率.
- 目前的培训协议需要改进,以确保长期保留知识和技能.
- 需要进一步的研究来开发紧急医疗区域麻醉的可持续课程.
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