在危地马拉资源有限的环境中,超声导向区域麻醉:对混合训练模型的前性评估
Jakob E Gamboa1, Inge Tamm-Daniels1, Roland Flores1
1Department of Anesthesiology, University of Colorado School of Medicine, 12401 E. 17th Avenue, Aurora, US.
JMIR medical education
|December 22, 2025
概括
在危地马拉,一项混合培训计划成功实施了超声波导向区域麻醉 (UGRA),提高了麻醉师的技能和患者护理. 这个模型为资源有限的设置提供了一个可扩展的解决方案.
科学领域:
- 麻醉学 麻醉学
- 医学教育 医学教育
- 全球健康 全球健康
背景情况:
- 超声波导向区域麻醉 (UGRA) 在低收入和中等收入国家 (LMICs) 由于培训和设备障碍而未得到充分利用.
- 便携式超声波技术和国际合作正在增加UGRA的可访问性.
- 乌格拉提高了患者的安全和护理质量.
研究的目的:
- 描述危地马拉一家医院麻醉师混合UGRA培训计划的发展和结果.
- 用柯克帕特里克框架来评估该计划的有效性.
主要方法:
- 一个为期4周的在线模块,面对面的会议和一个月的监督临床实践形成了混合的UGRA课程.
- 根据全球区域麻醉课程参与度 (GRACE) 模型调整的课前和课后调查评估了参与者的满意度,知识和技能.
- 在10个月内收集了有关程序性能的临床数据.
主要成果:
- 七位麻醉师都完成了该计划,他们的知识 (20.8%的增长) 和临床技能 (1月147.1%的增长) 显著改善.
- 报告说,参与者的满意度和动机很高.
- 187个超声导向区域麻醉块在10个月内进行,成功率为96%,没有报告的并发症,替代了70名患者的全身麻醉.
结论:
- 混合课程促进了UGRA在危地马拉一家公立医院的成功实施.
- 该计划扩大了临床能力,并减少了对上肢手术全身麻醉的依赖.
- 这种培训模式适用于希望实施UGRA的资源有限的医院.
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