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向皮肤科医生教授头颈部周围神经阻滞技术。

Teaching peripheral nerve blocks for the head and neck area to dermatologists.

机构信息

Department of Dermatology and Venereology, Institute of Clinical Sciences at Sahlgrenska Academy, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden.

出版信息

J Eur Acad Dermatol Venereol. 2012 Aug;26(8):1035-7. doi: 10.1111/j.1468-3083.2011.04218.x. Epub 2011 Sep 13.

Abstract

BACKGROUND

Peripheral nerve blocks in the head and neck region can be useful for a large number of surgical or otherwise painful procedures carried out by dermatologists. As anaesthesiologists cannot always be available to help dermatologists place nerve blocks in outpatient settings, training courses for these physicians are warranted.

OBJECTIVES

To present a method of teaching nerve blocks for the face and scalp to dermatologists during residency and/or continuing medical education programmes.

METHODS

Half-day courses with theoretical education, video demonstrations and supervised 'hands-on' training were organized to teach supraorbital/supratrochlear, infraorbital, mental and occipital nerve blocks. The outcome and effects of these training courses were analysed with a survey amongst participants 1-2 years after the course.

RESULTS

All the 20 participants who responded the survey successfully placed at least one type of nerve block during the course. Thirteen of 20 participants (65%) reported to be able to perform all the nerve block techniques at follow-up.

CONCLUSIONS

Dermatologists can learn how to perform nerve blocks for the face and scalp in a safe and controlled manner through half-day courses, including theory, video demonstrations and supervised 'hands-on' training.

摘要

背景

在皮肤科医生进行的大量手术或其他疼痛操作中,头部和颈部区域的外周神经阻滞可能非常有用。由于麻醉师不能总是在门诊环境下协助皮肤科医生进行神经阻滞,因此这些医生需要接受培训课程。

目的

为皮肤科医生的住院医师培训和/或继续医学教育计划中教授面部和头皮神经阻滞提供一种方法。

方法

组织了为期半天的课程,包括理论教育、视频演示和监督的“实践”培训,以教授眶上/滑车上神经、眶下神经、颏神经和枕神经阻滞。在课程结束后 1-2 年,通过对参与者的调查分析了这些培训课程的结果和效果。

结果

所有 20 名回复调查的参与者在课程中都成功地进行了至少一种类型的神经阻滞。20 名参与者中有 13 名(65%)报告在随访时能够进行所有神经阻滞技术。

结论

皮肤科医生可以通过为期半天的课程,包括理论、视频演示和监督的“实践”培训,安全且有控制地学习如何对面部和头皮进行神经阻滞。

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