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在外科手术期间的护理点 - - 胸外心声学:教育的可行性和影响

Jonathan M Curley¹, Jessica L Guerra¹, Emily H Garmon¹

¹The following authors are at the University of Virginia, Charlottesville, VA: Jonathan M. Curley is an Assistant Professor of Anesthesiology in the Department of Anesthesiology and Critical Care Medicine; and Siny Tsang is a Biostatistician in the Department of Anesthesiology. The following authors are at Baylor Scott & White Medical Center, Baylor College of Medicine, Temple, TX: Jessica L. Guerra is a Cardiothoracic Anesthesiology Fellow; Emily H. Garmon is an Associate Professor of Anesthesiology; Craig J. Lilie is an Assistant Professor of Anesthesiology; and William C. Culp, Jr. is a Professor of Anesthesiology.

The journal of education in perioperative medicine : JEPM

|April 10, 2025

概括

将手术内超声波培训整合到麻醉师住院是可行的. 横向的视图是最容易获得的,Trendelenburg的定位有助于图像的获取,有利于学员的教育.

科学领域:

麻醉学麻醉学
医学教育医学教育
护理中心超声波检查

背景情况:

术内超声教育增强了麻醉学研究生医学培训.
聚焦心脏超声波 (FoCUS) 课程可以与手术内超声波相结合.
培训既有利于住院人员,也有利于麻醉学更广泛的领域.

研究的目的:

描述在现有FOCUS课程中成功将手术内超声波培训整合到现有课程中.
为了确定麻醉学住院医生最容易访问的手术内 FoCUS 视图.
确定手术因素对图像采集成功率的影响.

主要方法:

4个研究生一年的教育日志的回顾性分析4个麻醉学住院医生.
160次手术内心聚焦心脏超声波 (FoCUS) 检查的评估.
分析按手术区域的图像采集成功率,考虑到腹部 insufflation 和 Trendelenburg 定位.

主要成果:

横侧视图 (长轴[PLA]和中侧皮质短轴[PSA]) 显示成功获取图像的可能性最高.
肢体手术的成功率最高 (PLA的成功率高达92.5%),而胸部手术的成功率最低.
趋势伦堡的定位显著增加了成功获得PLA或PSA视图的几率 (OR, 3.58).

结论:

在现有的FOCUS课程中,手术内超声波教育是可行的.
麻醉临床医生应该优先考虑外侧视图,因为它们的可访问性.
教师应该利用关于手术部位成功率的发现以及Trendelenburg定位优化图像采集的好处.

关键词:

在这里,我们将把重点放在焦点.在FOCUS课程中,课程内容包括:专注于教育的教育.波库斯 (POCUS) 是一个小怪兽.在POCUS教育教育.在手术期间进行血液动力学监测.

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