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一种易于制作、低成本的超声气道检查训练与评估模型。

An easily made, low-cost phantom for ultrasound airway exam training and assessment.

作者信息

Schroeder Kristopher M, Ramamoorthy Jagan, Galgon Richard E

机构信息

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, B6/319 CSC, Madison, WI, USA.

出版信息

Indian J Anaesth. 2013 Jan;57(1):31-4. doi: 10.4103/0019-5049.108558.

DOI:10.4103/0019-5049.108558
PMID:23716763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3658331/
Abstract

BACKGROUND

Recent manuscripts have described the use of ultrasound imaging to evaluate airway structures. Ultrasound training tools are necessary for practitioners to become proficient at obtaining and interpreting images. Few training tools exist and those that do can often times be expensive and rendered useless with repeated needle passes.

METHODS

We utilised inexpensive and easy to obtain materials to create a gel phantom model for ultrasound-guided airway examination training.

RESULTS

Following creation of the gel phantom model, images were successfully obtained of the thyroid and cricoid cartilages, cricothyroid membrane and tracheal rings in both the sagittal transverse planes.

CONCLUSION

The gel phantom model mimics human airway anatomy and may be used for ultrasound-guided airway assessment and intervention training. This may have important safety implications as ultrasound imaging is increasingly used for airway assessment.

摘要

背景

近期的文献描述了使用超声成像来评估气道结构。超声训练工具对于从业者熟练获取和解读图像是必要的。现有的训练工具很少,而且那些工具往往很昂贵,并且在反复进行穿刺后会变得无用。

方法

我们利用廉价且易于获取的材料制作了一个用于超声引导气道检查训练的凝胶体模模型。

结果

在制作凝胶体模模型后,成功在矢状面和横断面上获取了甲状腺、环状软骨、环甲膜和气管环的图像。

结论

凝胶体模模型模拟了人体气道解剖结构,可用于超声引导气道评估和干预训练。随着超声成像越来越多地用于气道评估,这可能具有重要的安全意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d79/3658331/cb6282fd059c/IJA-57-31-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d79/3658331/76be3a498838/IJA-57-31-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d79/3658331/dd4f1c9a6390/IJA-57-31-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d79/3658331/cb6282fd059c/IJA-57-31-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d79/3658331/76be3a498838/IJA-57-31-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d79/3658331/dd4f1c9a6390/IJA-57-31-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d79/3658331/cb6282fd059c/IJA-57-31-g003.jpg

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本文引用的文献

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Ultrasound of the airway.气道超声检查
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2
Ultrasonography in the management of the airway.超声检查在气道管理中的应用。
Acta Anaesthesiol Scand. 2011 Nov;55(10):1155-73. doi: 10.1111/j.1399-6576.2011.02518.x. Epub 2011 Sep 7.
3
Test characteristics of ultrasonography for the detection of pneumothorax: a systematic review and meta-analysis.超声检测气胸的试验特征:系统评价和荟萃分析。
Chest. 2012 Mar;141(3):703-708. doi: 10.1378/chest.11-0131. Epub 2011 Aug 25.
4
Comparison of sonography and computed tomography as imaging tools for assessment of airway structures.超声与计算机断层扫描在气道结构评估中的影像学工具比较。
J Ultrasound Med. 2011 Jul;30(7):965-72. doi: 10.7863/jum.2011.30.7.965.
5
Ultrasound detection of pneumothorax compared with chest X-ray and computed tomography scan.超声检测气胸与胸部X线及计算机断层扫描的比较。
Am Surg. 2011 Apr;77(4):480-4.
6
A review of the benefits and pitfalls of phantoms in ultrasound-guided regional anesthesia.超声引导区域麻醉中体模的优缺点综述。
Reg Anesth Pain Med. 2011 Mar-Apr;36(2):162-70. doi: 10.1097/aap.0b013e31820d4207.
7
Sonographic diagnosis of pneumothorax.超声诊断气胸。
Intensive Care Med. 2011 Feb;37(2):224-32. doi: 10.1007/s00134-010-2079-y. Epub 2010 Nov 20.
8
Applications of ultrasonography in ENT: airway assessment and nerve blockade.超声检查在耳鼻喉科的应用:气道评估与神经阻滞
Anesthesiol Clin. 2010 Sep;28(3):541-53. doi: 10.1016/j.anclin.2010.07.012. Epub 2010 Aug 21.
9
Accuracy of surface landmark identification for cannula cricothyroidotomy.经皮环甲膜穿刺套管针置管术体表定位标志点准确性的研究。
Anaesthesia. 2010 Sep;65(9):889-94. doi: 10.1111/j.1365-2044.2010.06425.x.
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Sensitivity of bedside ultrasound and supine anteroposterior chest radiographs for the identification of pneumothorax after blunt trauma.床边超声和仰卧前后位胸部 X 线片对钝性创伤后气胸的识别敏感性。
Acad Emerg Med. 2010 Jan;17(1):11-7. doi: 10.1111/j.1553-2712.2009.00628.x.