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基于模拟的甲型 H1N1 流感大流行期间体外膜肺氧合培训:意大利经验。

Simulation-based training of extracorporeal membrane oxygenation during H1N1 influenza pandemic: the Italian experience.

机构信息

Dipartimento di Anestesiologia, Terapia Intensiva e Scienze Dermatologiche, Università degli Studi di Milano, Milano, Italy.

出版信息

Simul Healthc. 2012 Feb;7(1):32-4. doi: 10.1097/SIH.0b013e31823ebccb.

DOI:10.1097/SIH.0b013e31823ebccb
PMID:22293665
Abstract

On November 2009, the Italian health authorities set up a network of selected intensive care unit (ICU) centers (ECMOnet) to prepare for the treatment of the sickest patients of influenza A (H1N1) by means of extracorporeal membrane oxygenation (ECMO).To quickly and efficaciously train all the physicians working in the ICUs of the ECMOnet on ECMO use, we decided to take advantages of the opportunity provided by simulation technology.Simulation proved efficacious in providing adequate training and education to participants as confirmed by the survival results obtained by the group of ICUs of the ECMOnet.Our experience supports the use of simulation as a valuable alternative to animal laboratory sessions proposed by traditional ECMO training programs providing participants with cognitive, technical, and behavioral skills and allowing a proficient transfer of those skills to the real medical domain.

摘要

2009 年 11 月,意大利卫生当局建立了一个精选重症监护病房 (ICU) 中心的网络 (ECMOnet),以便通过体外膜氧合 (ECMO) 治疗甲型流感 (H1N1) 中最病重的患者。为了快速有效地培训 ECMOnet 中所有 ICU 医生使用 ECMO 的方法,我们决定利用模拟技术提供的机会。模拟技术在为参与者提供充分的培训和教育方面被证明是有效的,这一点得到了 ECMOnet 的 ICU 小组获得的生存结果的证实。我们的经验支持将模拟作为传统 ECMO 培训计划中提出的动物实验室课程的一种有价值的替代方法,为参与者提供认知、技术和行为技能,并允许将这些技能熟练地转移到实际的医疗领域。

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