导航学习环境:第三空间内镜的全面培训 - 培训,技术和实际建议
1University Hospital Augsburg, Department for Gastroenterology, Augsburg, Germany.
Best practice & research. Clinical gastroenterology
|August 29, 2024
概括
第三空间内镜 (TSE) 的培训,就像口腔内镜肌切除术 (POEM) 一样,需要标准化的协议. 建议使用模拟器和临床前模型的逐步方法,然后进行监督病例,以提高熟练度.
科学领域:
- 胃肠病学和内镜检查
- 外科教育的外科教育
背景情况:
- 第三种空间内镜 (TSE) 涵盖了先进的内镜手术,如内镜下粘膜切割 (ESD),口腔内镜肌切割 (POEM) 和下粘膜道内镜切除 (STER).
- 尽管越来越多的采用,标准化的培训课程和基于证据的TSE协议显然缺少.
- 这种差距需要一种结构化的方法来开发内镜师所需的技术能力和认知技能.
研究的目的:
- 审查和提出第三空间内镜 (TSE) 的有效培训方法.
- 确定执行TSE程序的必不可少的认知技能和技术能力,重点是POEM.
- 概述一个全面的TSE培训计划的实际建议.
主要方法:
- 文献综述侧重于TSE的培训方法,模拟器,临床前模型和临床经验.
- 分析现有证据关于技能获取程序号码和指导的作用.
- 综合了理论知识和技术技能发展的建议.
主要成果:
- 建议采用逐步升级的培训方法,从实体模型和模拟器 (机械和虚拟现实) 开始.
- 使用ex-vivo和活体动物模型进行临床前培训对于准备学员至关重要.
- 建议大约20-40个受监督的病例达到初始的表现平原,临床培训的持续时间因先前的经验而异.
结论:
- 现有证据支持使用临床前模型和TSE专业培训计划.
- 结构化,逐步的培训方法对于确保安全和有效的TSE程序至关重要.
- 导师计划和不良事件管理培训是TSE教育的关键组成部分.
相关概念视频
Endoscopic Procedures III: Video Capsule Endoscopy
97
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
97
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
63
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
63
Endoscopic Procedures I: Esophagogastroduodenoscopy
79
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
79
Endoscopic Procedures V: ERCP
136
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
136
Endoscopic Procedures II: Colonoscopy
66
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
66
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
61
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
61

