基于模拟的培训对麻醉学员和护士在真实团队中难以管理的呼吸道管理的影响
Naveen Paliwal1, Pooja Bihani2, Geethanjali Ramachandra3
1Department of Anaesthesiology, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
Journal of anaesthesiology, clinical pharmacology
|November 3, 2025
概括
基于模拟的培训显著改善了真正的医疗保健团队难以掌握的气道管理技能. 六个月后,技能保持不变,提高了临床实践中的信心和表现.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 紧急医疗 紧急医疗
背景情况:
- 困难的气道管理是医疗保健专业人员的关键技能.
- 由于这种事件的稀有性,有限的现实生活经验阻碍了熟练度.
- 基于模拟的培训提供了一个可行的解决方案,以弥合这种经验差距.
研究的目的:
- 评估基于模拟的实体医疗保健团队培训对困难的气道管理的有效性.
- 评估技术和非技术技能的提高和保持情况.
- 在临床实践中测量信心和情境意识的变化.
主要方法:
- 一项前性的准实验性研究,涉及六个团队中的24名参与者.
- 基线模拟 (S0),然后进行教学和技能培训.
- 在两周 (S1) 和六个月 (S2) 进行培训后模拟,以评估技能改进和保留.
主要成果:
- 从基线 (S0) 到培训后 (S1) 的团队表现显著改善,技术和非技术分数增加 (P < 0.001).
- 在关键技能方面有所改进,比如调用救援的时间和cricothyroidotomy.
- 技能在六个月 (S2) 保持不变,没有显著下降 (P = 0.7).
结论:
- 基于模拟的培训有效地提高了技术和非技术技能,用于在真正的医疗保健团队中进行困难的气道管理.
- 培训导致了显著的技能提升和长期保留.
- 参与者报告说,他们在临床环境中增加了信心和情境意识.
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