Hirsch Jan, Generoso Jose R, Latoures Renee, Acar Yahya, Fidler Richard L
From the Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California; and Simulation Center, San Francisco VA Medical Center, San Francisco, California.
A A Case Rep. 2016 May 1;6(9):268-71. doi: 10.1213/XAA.0000000000000278.
Thoracic anesthesia procedures are challenging to master during anesthesia training. A Laerdal ALS Simulator® manikin was modified by adding a bronchial tree module to create fidelity to the fourth generation. After modification, placement of endotracheal tubes up to 8.0 mm is possible by direct laryngoscopy, video laryngoscopy, and fiberoptically; in addition, it allows fiberoptically guided insertion of endobronchial blockers. Insertion of left and right 35-Fr double-lumen tubes permits double- and single-lung ventilation with continuous positive airway pressure and positive end-expiratory pressure. This anatomical modification created a high-fidelity training tool for thoracic anesthesia that has been incorporated into educational curricula for anesthesia.
在麻醉培训期间，掌握胸段麻醉操作具有挑战性。对Laerdal ALS Simulator®人体模型进行了改装，增加了支气管树模块，使其逼真度达到第四代。改装后，通过直接喉镜检查、视频喉镜检查和纤维光学技术，可以插入内径达8.0毫米的气管导管；此外，它还允许在纤维光学引导下插入支气管内阻断器。插入左、右35-FR双腔导管可实现双肺和单肺通气，并可使用持续气道正压通气和呼气末正压通气。这种解剖学上的改装创造了一种用于胸段麻醉的高保真培训工具，已被纳入麻醉学教育课程。
