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超声引导下外周神经阻滞教学模型及其对兽医麻醉住院医师学习曲线影响的初步研究

Preliminary study of a teaching model for ultrasound-guided peripheral nerve blockade and effects on the learning curve in veterinary anesthesia residents.

作者信息

da Silva Luciano C B A, Sellera Fábio P, Gargano Ronaldo G, Rossetto Thais C, Gomes Giancarlo B, Miyahira Fabiano T, Futema Fábio, Cortopassi Silvia R G

机构信息

Department of Surgery, School of Veterinary Medicine, Metropolitan University of Santos, Santos, SP, Brazil; Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil.

Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil.

出版信息

Vet Anaesth Analg. 2017 May;44(3):684-687. doi: 10.1016/j.vaa.2016.08.004. Epub 2017 Jan 12.

Abstract

OBJECTIVE

To evaluate the use of an experimental colloid model for teaching veterinary anesthesia residents ultrasound-guided technique for nerve blockade.

STUDY DESIGN

Prospective, blinded and randomized.

METHODS

Colloid models were constructed for practice in ultrasound-guided needle location. Nine veterinary anesthesia residents with no prior experience of ultrasound-guided technique for nerve blocks were randomly divided into three groups. Each group received theoretical orientation. Two groups were assigned to practical training using the experimental model: group 1 (G1) received 2 hours of training and group 2 (G2) received 1 hour of training prior to testing with specific tasks. Group 3 (G3) received no practical training. During testing, the time required for task completion (e.g., display of structures and positioning a needle) and the number of failures were recorded.

RESULTS

The average times to completion of the tasks and the number of technical failures were: G1, 47 seconds and 1 failure; G2, 68 seconds and 2 failures; G3, 187 seconds and 7 failures.

CONCLUSIONS AND CLINICAL RELEVANCE

In residents with no prior experience of ultrasound-guided needle placement, using an experimental colloid model and a longer training period was associated with increased accuracy and decreased time to task completion. Based on the results of this study, training with an experimental model can be recommended to improve the speed and accuracy of needle manipulation using ultrasound in clinicians with no prior experience of ultrasound-guided technique.

摘要

目的

评估使用一种实验性胶体模型向兽医麻醉住院医师教授超声引导下神经阻滞技术。

研究设计

前瞻性、盲法和随机化。

方法

构建胶体模型用于超声引导下针定位的练习。九名此前没有超声引导下神经阻滞技术经验的兽医麻醉住院医师被随机分为三组。每组都接受理论指导。两组被分配使用实验模型进行实践培训:第1组(G1)在进行特定任务测试前接受2小时培训,第2组(G2)在进行特定任务测试前接受1小时培训。第3组(G3)不接受实践培训。在测试期间,记录完成任务所需的时间(例如,显示结构和定位针)以及失败次数。

结果

完成任务的平均时间和技术失败次数分别为:G1组,47秒和1次失败;G2组,68秒和2次失败;G3组,187秒和7次失败。

结论及临床意义

在没有超声引导下针放置经验的住院医师中,使用实验性胶体模型和更长的培训时间与提高准确性和缩短任务完成时间相关。基于本研究结果,对于没有超声引导技术经验的临床医生,可推荐使用实验模型进行培训,以提高超声引导下针操作的速度和准确性。

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