Chau Destiny, Bensalem-Owen Meriem, Fahy Brenda G
Department of Pediatrics, Division of Pediatric Anesthesiology, The Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, VA.
Department of Neurology, University of Kentucky College of Medicine, Lexington, KY.
J Crit Care. 2014 Dec;29(6):1107-10. doi: 10.1016/j.jcrc.2014.06.012. Epub 2014 Jun 21.
The purpose of this study is to evaluate the effectiveness of an interdisciplinary electroencephalogram (EEG) educational module for critical care training. Electroencephalogram is increasingly used for diagnosis, monitoring, and treatment decisions in critically ill patients with neurologic and nonneurologic disorders. Continuous EEG monitoring has an expanded role in the intensive care unit as an additional evaluation tool for critically ill patients with altered mental status.
During a neurosurgical intensive care rotation, pulmonary critical care fellows participated in an EEG curriculum covering didactics, clinical exposure, and EEG interpretations. Using 25-question evaluation tools, including EEG interpretations, participants were assessed before EEG instruction and after curriculum completion.
Nine fellows completed the pilot study. Evaluation scores increased from 7.56±2.24 to 16.67±2.96 (P<.001).
An interdisciplinary approach was effective for increasing EEG knowledge in critical care fellows as measured by the assessment tools. As an added potential benefit, the pulmonary fellows also learned about sleep disorder-related EEG. This model can be replicated in other institutions for trainees of other specialties interested in critical care.
本研究旨在评估一种用于重症监护培训的跨学科脑电图(EEG)教育模块的有效性。脑电图越来越多地用于患有神经和非神经疾病的重症患者的诊断、监测和治疗决策。持续脑电图监测在重症监护病房中作为评估精神状态改变的重症患者的额外评估工具发挥着越来越重要的作用。
在神经外科重症监护轮转期间,肺部重症监护研究员参加了一个涵盖教学、临床接触和脑电图解读的脑电图课程。使用包括脑电图解读在内的25道问题评估工具,在脑电图教学前和课程完成后对参与者进行评估。
9名研究员完成了试点研究。评估分数从7.56±2.24提高到16.67±2.96(P<0.001)。
通过评估工具测量,跨学科方法对于增加重症监护研究员的脑电图知识是有效的。作为一个额外的潜在益处,肺部研究员还了解了与睡眠障碍相关的脑电图。该模型可在其他机构为对重症监护感兴趣的其他专业学员进行复制。