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新型树脂-猪胸模型在胸腔引流管置入训练中的验证。

Validation of a novel resin-porcine thorax model for chest drain insertion training.

机构信息

Shrewsbury and Telford Hospitals NHS Trust.

出版信息

Clin Med (Lond). 2012 Feb;12(1):49-52. doi: 10.7861/clinmedicine.12-1-49.

DOI:10.7861/clinmedicine.12-1-49
PMID:22372222
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4953418/
Abstract

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.

摘要

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。

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Validation and implementation of surgical simulators: a critical review of present, past, and future.验证和实施手术模拟器:对现在、过去和未来的批判性回顾。
Surg Endosc. 2010 Mar;24(3):536-46. doi: 10.1007/s00464-009-0634-9. Epub 2009 Jul 25.
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Standards for simulation.
Anaesthesia. 2008 Dec;63(12):1281-4. doi: 10.1111/j.1365-2044.2008.05787.x.
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A systematic review of skills transfer after surgical simulation training.外科模拟训练后技能转移的系统评价。
Ann Surg. 2008 Aug;248(2):166-79. doi: 10.1097/SLA.0b013e318176bf24.
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Using simulation models to teach junior doctors how to insert chest tubes: a brief and effective teaching module.使用模拟模型教初级医生如何插入胸管:一个简短而有效的教学模块。
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Applying the lessons of high risk industries to health care.将高风险行业的经验教训应用于医疗保健领域。
Qual Saf Health Care. 2003 Dec;12 Suppl 1(Suppl 1):i7-12. doi: 10.1136/qhc.12.suppl_1.i7.
7
Fundamental principles of validation, and reliability: rigorous science for the assessment of surgical education and training.验证和可靠性的基本原则:评估外科教育与培训的严谨科学。
Surg Endosc. 2003 Oct;17(10):1525-9. doi: 10.1007/s00464-003-0035-4. Epub 2003 Sep 19.
8
Simulation-based medical education: an ethical imperative.基于模拟的医学教育:一项伦理要求。
Acad Med. 2003 Aug;78(8):783-8. doi: 10.1097/00001888-200308000-00006.
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Surgical simulation - a 'good idea whose time has come'.手术模拟——一个“时机已到的好主意”。
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Morbidity of percutaneous tube thoracostomy in trauma patients.创伤患者经皮胸腔闭式引流术的发病率
Eur J Cardiothorac Surg. 2002 Nov;22(5):673-8. doi: 10.1016/s1010-7940(02)00478-5.