Lenfant F, Pean D, de Mesmay M, Maurice A, Decagny S, Lejus C, Langeron O
Service d'anesthésie-réanimation, groupe hospitalier Pitié-Salpêtrière, 43-87, boulevard de l'Hôpital, 75013 Paris, France.
Service d'anesthésie-réanimation chirurgicale, Hôtel-Dieu - PME, CHU de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
Ann Fr Anesth Reanim. 2014 Jan;33(1):12-5. doi: 10.1016/j.annfar.2013.11.001. Epub 2013 Dec 27.
To evaluate a single-use fiberscope, the Ascope-Trainer, for the training in the intubation under fiberscope.
Prospective randomized study approved by the local ethic committee.
After evaluation of their level of expertise, "experienced" or "novices" in intubation under fiberscope, the doctors attending the Training for Referents in Difficult Airway Management performed a test on labyrinth with a standard fiberscope (T1). After they were assigned to two groups, training with the Ascope-Trainer (group A, n=35) or with a classic fiberscope (group C, n=29), they trained during 15 minutes and performed a new test (T2). An analysis of variance was used to compare means. A goal for the training was determined according to the "experienced" doctors' mean T1. A test of Khi(2) was used for the comparison of the number of participants having reached this goal as well as the progress in both groups A and C.
The T1 in the "experienced" group was 76 ± 31 s and the training improved significantly T2 (53 ± 17 s). Considering the novices, T2 was significantly lower than T1 in the group A (77 ± 38 s versus 135 ± 68 s) as well as in C (64 ± 28 s versus 122 ± 60 s), and the proportion of the novices having reached the goal of training was comparable in both groups.
Because its use is similar to the standard fiberscope, the Ascope-Trainer may be interesting for this type of training.
评估一次性纤维喉镜Ascope-Trainer在纤维喉镜引导下插管训练中的效果。
经当地伦理委员会批准的前瞻性随机研究。
对参加困难气道管理培训的医生进行纤维喉镜引导下插管的专业水平评估,分为“经验丰富者”或“新手”,先用标准纤维喉镜进行迷宫测试(T1)。然后将他们分为两组,分别使用Ascope-Trainer训练(A组,n=35)或经典纤维喉镜训练(C组,n=29),训练15分钟后再进行一次测试(T2)。采用方差分析比较均值。根据“经验丰富者”医生的T1均值确定训练目标。使用卡方检验比较两组达到该目标的参与者数量以及进展情况。
“经验丰富者”组的T1为76±31秒,训练后T2显著改善(53±17秒)。对于新手,A组(77±38秒对135±68秒)和C组(64±28秒对122±60秒)的T2均显著低于T1,且两组达到训练目标的新手比例相当。
由于Ascope-Trainer的使用与标准纤维喉镜相似,对于此类训练可能很有意义。