新传感器视频喉镜在模拟环境下对新生儿插管再培训的效果。

Effectiveness of a new sensorized videolaryngoscope for retraining on neonatal intubation in simulation environment.

机构信息

Centro di Formazione e Simulazione Neonatale "NINA", U.O. Neonatologia, Dipartimento Materno-Infantile, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

U.O. Neonatologia, Dipartimento Materno-Infantile, Azienda Ospedaliero Universitaria Pisana, Via Roma 67, Pisa, Italy.

出版信息

Ital J Pediatr. 2020 Feb 3;46(1):13. doi: 10.1186/s13052-020-0774-z.

DOI:10.1186/s13052-020-0774-z

PMID:32014009

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6998091/

Abstract

BACKGROUND

In recent years, medical training has significantly increased the use of simulation for teaching and evaluation. The retraining of medical personnel in Italy is entrusted to the program of Continuous Education in Medicine, mainly based on theoretical training. The aim of this study is to assess whether the use of a new sensorized platform for the execution of the neonatal intubation procedure in simulation environment can complement theoretical retraining of experienced health professionals.

METHODS

Neonatal intubation tests were performed using a commercial manikin and a modified video-laryngoscope by the addition of force and position sensors, which provide the user with feedback when the threshold is exceeded. Two categories carried out the simulation tests: anesthesiologists and pediatricians. The categories were divided into three groups each, and various configurations were tested: the first group of both specialists carried out the tests without feedback (i.e. control groups, gr. A and A1), the second groups received sound and visual feedback from the instrument (gr. B and B1) and the third ones had also the support of a physician expert in the use of the instrument (gr. C and C1). The instrumentation used by pediatricians was provided in a playful form, including a game with increasing difficulty levels.

RESULTS

Both in the case with feedback only and in the case with humans support, anesthesiologists did not show a specific trend of improvement. Pediatricians, in comparison with anesthesiologists, showed a positive reaction to both the presence of feedback and that of experienced personnel. Comparing the performance of the two control groups, the two categories of experienced doctors perform similar forces. Pediatricians enjoyed the "Level Game", through which they were able to test and confront themselves, trying to improve their own performance.

CONCLUSIONS

Our instrument is more effective when is playful and competitive, introducing something more than just a sound feedback, and allowing training by increasing levels. It is more effective if the users can adapt their own technique to the instrument by themselves, without any external help.

摘要

背景

近年来，医学培训在教学和评估中大量使用模拟。意大利的医务人员再培训委托给医学继续教育计划，主要基于理论培训。本研究旨在评估在模拟环境中使用新的传感器平台执行新生儿插管程序是否可以补充经验丰富的卫生专业人员的理论再培训。

方法

使用商业模拟人和经过修改的视频喉镜进行新生儿插管测试，通过添加力和位置传感器为用户提供超过阈值时的反馈。两类人员进行了模拟测试：麻醉师和儿科医生。这两个类别又分为三个小组，测试了各种配置：两组专家都进行了没有反馈的测试（即对照组，A 组和 A1 组），第二组从仪器中获得声音和视觉反馈（B 组和 B1 组），第三组还得到了使用仪器方面的专家医生的支持（C 组和 C1 组）。儿科医生使用的仪器以游戏的形式提供，包括一个具有不同难度级别的游戏。