Odom Mitchell, Byrnes James, Herrman Nicholas W C, Micheller Daniel, Seleno Nicole, Majkrzak Allen
Department of Emergency Medicine, Saint Joseph Mercy Ann Arbor Hospital, Ypsilanti, Michigan.
Clinical Simulation Program for the Advancement of Patient Safety, Saint Joseph Mercy Ann Arbor Hospital, Ypsilanti, Michigan.
J Emerg Med. 2019 Dec;57(6):844-847. doi: 10.1016/j.jemermed.2019.09.004. Epub 2019 Nov 7.
Thoracic injuries present many challenges for management in the acute and inpatient settings, including achieving appropriate pain control. Traditional modalities, such as opioids and spinal epidural anesthesia, are associated with multiple complications. Ultrasound-guided regional nerve blocks are becoming more prevalent, and they have been shown to be an effective modality of pain control for other traumatic injuries. Models comprised of animal tissue to simulate human anatomy are widely utilized to facilitate training of needle-guided procedures, but no such model for the serratus anterior plane block has yet been defined in the literature.
Our goal was to produce a high-functionality serratus anterior plane block model with reasonable anatomic fidelity from low-cost materials.
We describe the creation of an inexpensive high-functionality serratus anterior plane block model from common materials, including pork ribs and chicken breasts, to realistically simulate human anatomy, including multiple muscle and fascial planes, as well as to allow hydrodissection.
This model will facilitate training and can improve success when caring for patients with thoracic trauma.
胸部损伤在急性和住院治疗环境中带来诸多管理挑战，包括实现适当的疼痛控制。传统方法，如阿片类药物和脊髓硬膜外麻醉，会引发多种并发症。超声引导下区域神经阻滞正变得越来越普遍，并且已被证明是控制其他创伤性损伤疼痛的有效方法。由动物组织构成以模拟人体解剖结构的模型被广泛用于辅助针引导操作的培训，但文献中尚未定义用于前锯肌平面阻滞的此类模型。
我们的目标是用低成本材料制作一个具有合理解剖逼真度的高功能性前锯肌平面阻滞模型。
我们描述了一种由常见材料（包括猪肋骨和鸡胸肉）制作的低成本高功能性前锯肌平面阻滞模型的创建过程，该模型能逼真地模拟人体解剖结构，包括多个肌肉和筋膜平面，还能进行水分离操作。
该模型将有助于培训，并能在治疗胸部创伤患者时提高成功率。
