Shrewsbury and Telford Hospitals NHS Trust.
Clin Med (Lond). 2012 Feb;12(1):49-52. doi: 10.7861/clinmedicine.12-1-49.
Chest drain insertion in inexperienced hands carries a significant morbidity and mortality. The royal colleges, recognising this, stipulated that chest drain insertion be included as one of the core competences for all core medical trainees. However, there is no formal training in chest drain insertion included in training programmes. Simulation training should, in theory, provide a safe and objective method to overcome the obstacles in chest drain insertion training. There have been a number of attempts to find the ideal simulator for chest drain insertion with varying success. This article describes a model which is practical and affordable in all clinical skills labs, using porcine ribs mounted on a resin cast of a human thorax, and the data about the validation of the porcine-thorax model for chest drain insertion presented.
在缺乏经验的手中进行胸腔引流插入会带来显著的发病率和死亡率。皇家学院意识到这一点,规定胸腔引流插入应作为所有核心医学受训者的核心能力之一。然而,培训计划中并没有包括胸腔引流插入的正式培训。模拟培训理论上应该提供一种安全和客观的方法来克服胸腔引流插入培训中的障碍。已经有许多尝试来寻找理想的胸腔引流插入模拟器,但取得的成功程度不一。本文描述了一种在所有临床技能实验室都实用且负担得起的模型,使用安装在人体胸部树脂铸件上的猪肋骨,并介绍了用于胸腔引流插入的猪胸模型的验证数据。