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程序模拟:医学生对三种超声引导区域麻醉任务训练器的偏好和价值

Procedural simulation: medical student preference and value of three task trainers for ultrasound guided regional anesthesia.

作者信息

Lahham Shadi, Smith Taylaur, Baker Jessa, Purdy Amanda, Frumin Erica, Winners Bret, Wilson Sean P, Gari Abdulatif, Fox John C

机构信息

Department of Emergency Medicine, University of California, Irvine, Orange, California 92868, USA.

UC Irvine School of Medicine, Irvine, California, USA.

出版信息

World J Emerg Med. 2017;8(4):287-291. doi: 10.5847/wjem.j.1920-8642.2017.04.007.

Abstract

BACKGROUND

Ultrasound guided regional anesthesia is widely taught using task trainer models. Commercially available models are often used; however, they can be cost prohibitive. Therefore, alternative "homemade" models with similar fidelity are often used. We hypothesize that professional task trainers will be preferred over homemade models. The purpose of this study is to determine realism, durability and cleanliness of three different task trainers for ultrasound guided nerve blocks.

METHODS

This was a prospective observational study using a convenience sample of medical student participants in an ultrasound guided nerve block training session on January 24th, 2015. Participants were asked to perform simulated nerve blocks on three different task trainers including, 1 commercial and 2 homemade. A questionnaire was then given to all participants to rate their experiences both with and without the knowledge on the cost of the simulator device.

RESULTS

Data was collected from 25 participants. The Blue Phantom model was found to have the highest fidelity. Initially, 10 (40%) of the participants preferred the Blue Phantom model, while 10 (40%) preferred the homemade gelatin model and 5 (20%) preferred the homemade tofu model. After cost awareness, the majority, 18 (72%) preferred the gelatin model.

CONCLUSION

The Blue Phantom model was thought to have the highest fidelity, but after cost consideration the homemade gelatin model was preferred.

摘要

背景

超声引导区域麻醉通常使用任务训练模型进行广泛教学。常使用市售模型;然而,它们可能成本过高。因此,常使用具有相似逼真度的替代“自制”模型。我们假设专业任务训练模型会比自制模型更受青睐。本研究的目的是确定三种不同的超声引导神经阻滞任务训练模型的逼真度、耐用性和清洁度。

方法

这是一项前瞻性观察性研究,使用了2015年1月24日参加超声引导神经阻滞训练课程的医学生参与者的便利样本。参与者被要求在三种不同的任务训练模型上进行模拟神经阻滞,包括1个市售模型和2个自制模型。然后向所有参与者发放一份问卷,让他们在不知道和知道模拟器设备成本的情况下对自己的体验进行评分。

结果

收集了25名参与者的数据。发现Blue Phantom模型具有最高的逼真度。最初,10名(40%)参与者更喜欢Blue Phantom模型,10名(40%)更喜欢自制明胶模型,5名(20%)更喜欢自制豆腐模型。在了解成本后,大多数人,即18名(72%)更喜欢明胶模型。

结论

Blue Phantom模型被认为具有最高的逼真度,但在考虑成本后,自制明胶模型更受青睐。

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