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与超声引导下颈内静脉置管相比,基于人体模型对超声引导下锁骨下纵切平面腋静脉置管教学模式的评估:一项初步研究。

A manikin-based evaluation of a teaching modality for ultrasound-guided infraclavicular longitudinal in-plane axillary vein cannulation in comparison with ultrasound-guided internal jugular vein cannulation: A pilot study.

作者信息

Adhikary Sanjib, McQuillan Patrick, Fortunato Michael, Owen David, Liu Wai-Man, Thiruvenkatarajan Venkatesan

机构信息

Department of Anesthesiology and Perioperative Medicine, Penn State College of Medicine, Milton S. Hershey Medical Centre, Hershey, Pennsylvania, USA.

Department of Research Scool, Research School of Finance, Actuarial Studies and Statistics, The Australian National University, Canberra, South, Australia.

出版信息

J Anaesthesiol Clin Pharmacol. 2017 Jul-Sep;33(3):337-341. doi: 10.4103/joacp.JOACP_189_16.

Abstract

BACKGROUND AND AIMS

Ultrasound (US)-guided infraclavicular approach for axillary vein (AXV) cannulation has gained popularity in the last decade.

MATERIAL AND METHODS

In this manikin study, we evaluated the feasibility of a training model for teaching AXV cannulation. The learning pattern with this technique was assessed among attending anesthesiologists and residents in training.

RESULTS

A faster learning pattern was observed for AXV cannulation among the attending anesthesiologists and residents in training, irrespective of their prior experience with US. It was evident that a training modality for this technique could be easily established with a phantom model and that hands-on training motivates trainees to embrace US-based central venous cannulation.

CONCLUSION

A teaching model for US-guided infraclavicular longitudinal in-plane AXV cannulation can be established using a phantom model. A focused educational program would result in an appreciable change in preference in embracing US-based cannulation techniques among residents.

摘要

背景与目的

超声引导下锁骨下途径腋静脉置管在过去十年中越来越受欢迎。

材料与方法

在这项人体模型研究中,我们评估了一种用于教授腋静脉置管的培训模型的可行性。在主治麻醉医师和住院医师培训学员中评估了使用该技术的学习模式。

结果

无论主治麻醉医师和住院医师培训学员之前有无超声经验,他们在腋静脉置管方面均呈现出更快的学习模式。显然,使用模拟模型可以轻松建立该技术的培训模式,且实践培训能促使学员接受基于超声的中心静脉置管。

结论

使用模拟模型可以建立超声引导下锁骨下纵切面平面内腋静脉置管的教学模型。有针对性的教育计划将使住院医师在接受基于超声的置管技术方面的偏好发生明显变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5522/5672534/4cd26e16e347/JOACP-33-337-g001.jpg

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