一种新的方法,以外围神经阻断教育与解剖学表作为学习辅助
Varun Shenoy1, Arjun Kumar Ghimire2, Chaya Gopalan2
1Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, United States.
Advances in physiology education
|August 29, 2024
概括
认证注册护士麻醉师 (CRNA) 学生在使用解剖表 (AT) 和超声波识别外围神经阻塞 (PNB) 的神经轴标志时获得了信心. 这种技术辅助的方法增强了临床解剖学教育.
科学领域:
- 医学教育 医学教育
- 人体解剖学 解剖学 解剖学
- 麻醉学 麻醉学
背景情况:
- 人类尸体是传统的解剖学教育,但面临的收购和维护挑战.
- 基于技术的替代方案,如解剖学表 (AT),提供交互式虚拟解剖.
- 在临床程序教育中AT的有效性需要进一步研究.
研究的目的:
- 评估解剖学表 (AT) 结合超声波的实用性,以教导外围神经块 (PNB) 的神经轴标志.
- 评估这种综合方法对注册护士麻醉师 (CRNA) 学生信心的影响.
主要方法:
- 为29名CRNA二年级学生进行了一次非正式研讨会.
- 解剖学表 (AT) 用于识别神经轴的地标.
- 在志愿者模型上使用超声波探测器,以获得与已识别的地标的触觉体验.
主要成果:
- 调查前后显示,学生信心显著增加.
- 对确定PNB的神经轴基准标志的信心有所改善.
- 人们对表现良好的国有企业的信心也增加了.
结论:
- 解剖学表 (AT) 和超声波有效地补充了PNB的临床解剖教育.
- 这种综合方法提高了学生对地标识别和程序执行的信心.
- 术术是一种有价值的工具,特别是当传统方法 (如尸体) 不切实际时.
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
380
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
380
Local Anesthetics: Clinical Application as Spinal Anesthesia
592
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
592
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
988
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
988
Peripheral Nervous System: Ganglia and Nerves
1.7K
The Peripheral Nervous System (PNS) is a crucial component of the body's neural network, extending beyond the central nervous system (CNS) to bridge the gap between the CNS and the external environment. It encompasses nerves, ganglia, and sensory receptors.
Nerves
The nerve is a bundle of axons that serves as the communication highway in the PNS. Each nerve is ensheathed in a protective layer of connective tissue called the epineurium. This outermost layer safeguards the nerve and supports the...
Nerves
The nerve is a bundle of axons that serves as the communication highway in the PNS. Each nerve is ensheathed in a protective layer of connective tissue called the epineurium. This outermost layer safeguards the nerve and supports the...
1.7K
General Anesthesia: Overview
198
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
198
Spinal Nerves: Anatomy
2.3K
Spinal nerves are pivotal conduits in the nervous system, bridging the central nervous system (CNS) with the peripheral nervous system (PNS). These nerves enable a complex communication network between the brain, spinal cord, and the rest of the body, facilitating sensory input, motor output, and autonomic functions.
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
2.3K


