一种客观评估工具的开发和验证,用于执行超声波导向的横腹部平面块
Kevin Bayaca1, Christian R Falyar2, Jessica D Pitman3
1is a staff CRNA at New York-Presbyterian Weill Cornell, New York, New York and competed this project as a third-year student registered nurse anesthesiologist at Duke University's Nurse Anesthesia Program, Duke University School of Nursing, Durham, North Carolina.
AANA journal
|July 26, 2024
概括
开发了一份新的检查清单,以评估超声波引导的横腹平面 (TAP) 块,旨在提高腹部手术区域麻醉的提供者技能和患者安全.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉 区域麻醉
- 疼痛管理 疼痛管理
背景情况:
- 横腹平面 (TAP) 块对于腹部手术后的多式疼痛管理至关重要.
- 对TAP阻塞的不一致技术可能会降低疗效并增加患者的风险.
- 超声波导向TAP块缺乏验证的能力评估工具.
研究的目的:
- 开发和验证评估超声波导向横腹平面 (TAP) 块的检查清单.
- 建立一个可靠的工具,以提高提供者技能和患者安全.
主要方法:
- 修改后的Delphi方法用于检查列表的开发.
- 一个43项的检查清单被一个由六名专家认证注册护士麻醉师组成的小组验证.
- 梅西克的有效性框架指导了评估工具的验证过程.
主要成果:
- 43项检查清单在三轮反后达到了专家小组的共识 (0.8门).
- 经过验证的检查清单提供了一种标准化的方法来评估TAP区块能力.
- 该工具适用于教育环境,以改善技能评估.
结论:
- 成功开发了一份针对超声导向TAP块的验证检查清单.
- 这种工具可以提高提供者的能力,潜在地改善患者的治疗结果并降低风险.
- 经过验证的检查清单有助于未来在区域麻醉教育和技能评估方面的研究.
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