Pfister R E, Savoldelli G L
Service de l'Enfant et de l'Adolescent, Unité de néonatologie, Hôpitaux Universitaires de Genève, 6 rue Willy-Donzé, 1211 Genève 14, Suisse.
Arch Pediatr. 2011 Jul;18 Suppl 2:S65-71. doi: 10.1016/S0929-693X(11)71093-4.
Neonatal resuscitation is one of the most cost-effective medical interventions, most often an emergency procedure involving a multidisciplinary team in the delivery room: doctors, nurses, midwives, obstetricians, anesthetists and other theatre staff. The success of resuscitation depends not only on individual competence but also on efficient teamwork between healthcare professionals in the delivery room; failure often results from the weakest link. Initiation of basic resuscitation procedures must be rapid and effective. Simple procedures must therefore be known by a large number of healthcare professionals, in fact all those potentially present at a delivery. Many complex neonatal diseases on the other hand are too infrequent for all to acquire sufficient personal experience. In addition, synchronization between the interventions of the different members in a perinatal team is complex. It is therefore necessary to train both individuals and teams to better manage perinatal crisis situations. The educational approach should remain multimodal, combining teaching of technical and non-techniques skills. Simulation of resuscitation scenarios can mimic emergency situations without any risk to the patient. It can be used for teaching and/or evaluation of the effectiveness of procedures and collaboration between actors. For maximum performance in complex pathologies, multidisciplinary teaching sessions are necessary. Simulation techniques adapted to neonatal resuscitation in the delivery room appear of great educational interest and proof of their efficiency gradually appears in literature.
新生儿复苏是最具成本效益的医疗干预措施之一，通常是在产房由多学科团队参与的紧急程序，这些团队成员包括医生、护士、助产士、产科医生、麻醉师和其他手术室工作人员。复苏的成功不仅取决于个人能力，还取决于产房医护人员之间高效的团队协作；失败往往源于最薄弱的环节。基本复苏程序的启动必须迅速且有效。因此，大量医护人员，实际上是所有可能在分娩现场的人员，都必须了解简单的程序。另一方面，许多复杂的新生儿疾病非常罕见，所有人都难以获得足够的个人经验。此外，围产期团队中不同成员的干预之间的同步很复杂。因此，有必要对个人和团队进行培训，以更好地应对围产期危机情况。教育方法应保持多模式，将技术和非技术技能的教学结合起来。复苏场景模拟可以模拟紧急情况，而不会对患者造成任何风险。它可用于教学和/或评估程序的有效性以及参与者之间的协作。为了在复杂病症中实现最佳表现，多学科教学课程是必要的。适用于产房新生儿复苏的模拟技术似乎具有很大的教育价值，其有效性的证据也逐渐在文献中出现。
