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在急诊科教授超声引导下股神经阻滞。

Teaching ultrasound guided femoral nerve block in the emergency department.

机构信息

Department of Emergency Medicine, Sengkang General Hospital, SingHealth, Singapore.

出版信息

Med Ultrason. 2020 Mar 1;22(1):97-101. doi: 10.11152/mu-2112.

DOI:10.11152/mu-2112
PMID:32096795
Abstract

AIMS

Patients with hip fracture are often not given adequate analgesia in the Emergency Department. Ultrasound guided femoral nerve block is an effective option but it is not commonly used due to limited experience, inadequate training and infrequent clinical exposure. We aimed to develop a workshop to bridge the current gap in the training of ultrasound guided femoral nerve block.

MATERIAL AND METHODS

A 3-hour workshop was developed in accordance to guidelines for education and training in ultrasound-guided regional anesthesia. The components included an online learning module for pre-reading, as well as team-based learning and simulation practice during the session. Evaluation of the participants was performed and feedbackof the course was collected.

RESULTS

The workshop was conducted successfully for a total of 30 participants. All participants achieved the minimum standard required. Across all domains, the mean scores for the workshop were more than 4.7 out of 5 on the Likert scale. Participants were satisfied with the workshop and would recommend it to a colleague.

CONCLUSION

This workshop met its educational objectives and various principles of medical education were used effectively in the delivery of the content. Further research is necessary to demonstrate the impact of this educational effort on clinical practice and patient outcomes.

摘要

目的

髋部骨折患者在急诊科通常得不到足够的镇痛。超声引导股神经阻滞是一种有效的选择,但由于经验有限、培训不足和临床接触较少,尚未广泛应用。我们旨在开发一个讲习班,以弥补超声引导股神经阻滞培训方面的现有差距。

材料与方法

根据超声引导区域麻醉教育和培训指南制定了一个 3 小时的讲习班。内容包括在线学习模块作为预习,以及在课程期间进行团队学习和模拟练习。对参与者进行评估,并收集课程反馈。

结果

共有 30 名参与者成功完成了该讲习班。所有参与者均达到最低要求标准。在所有领域,参与者对讲习班的平均评分均高于 5 分制中的 4.7 分。参与者对讲习班表示满意,并会向同事推荐。

结论

本讲习班达到了其教育目标,并在内容传递中有效地运用了医学教育的各项原则。需要进一步的研究来证明这种教育努力对临床实践和患者结局的影响。

相似文献

1
Teaching ultrasound guided femoral nerve block in the emergency department.在急诊科教授超声引导下股神经阻滞。
Med Ultrason. 2020 Mar 1;22(1):97-101. doi: 10.11152/mu-2112.
2
A comparison of ultrasound-guided three-in-one femoral nerve block versus parenteral opioids alone for analgesia in emergency department patients with hip fractures: a randomized controlled trial.超声引导下三合一股神经阻滞与单纯静脉使用阿片类药物在急诊科髋部骨折患者镇痛中的比较:一项随机对照试验。
Acad Emerg Med. 2013 Jun;20(6):584-91. doi: 10.1111/acem.12154.
3
Impact of ultrasound-guided femoral nerve blocks in the pediatric emergency department.超声引导下股神经阻滞在儿科急诊科的影响
Pediatr Emerg Care. 2014 Apr;30(4):227-9. doi: 10.1097/PEC.0000000000000101.
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Translation of training to practice - ultrasound guided nerve block for analgesia in patients with hip fracture.
Med Ultrason. 2022 Dec 21;24(4):485-490. doi: 10.11152/mu-3537. Epub 2022 Sep 19.
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A presurvey and postsurvey of a web- and simulation-based course of ultrasound-guided nerve blocks for pediatric emergency medicine.一项针对基于网络和模拟的儿科急诊医学超声引导神经阻滞课程的课前调查和课后调查。
Pediatr Emerg Care. 2012 Jun;28(6):506-9. doi: 10.1097/PEC.0b013e3182586f42.
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Nurse-led ultrasound-guided femoral nerve block: A randomised controlled trial of two different patient flow systems in an emergency department.护士主导的超声引导股神经阻滞:在急诊科两种不同患者流程系统的随机对照试验。
Int J Orthop Trauma Nurs. 2024 Feb;52:101074. doi: 10.1016/j.ijotn.2023.101074. Epub 2023 Dec 4.
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Regional Nerve Blocks For Hip and Femoral Neck Fractures in the Emergency Department: A Systematic Review.急诊科髋部和股骨颈骨折的区域神经阻滞:一项系统评价
CJEM. 2016 Jan;18(1):37-47. doi: 10.1017/cem.2015.75. Epub 2015 Sep 2.
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Ultrasound guided supra-inguinal Fascia Iliaca Compartment Blocks in hip fracture patients: An alternative technique.超声引导下股前筋膜间隙阻滞在髋部骨折患者中的应用:一种替代技术。
Am J Emerg Med. 2020 Feb;38(2):231-236. doi: 10.1016/j.ajem.2019.02.011. Epub 2019 Feb 11.
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Ultrasound-Guided Regional Anesthesia of the Femoral Nerve in the Pediatric Emergency Department.超声引导下儿科急诊股神经区域麻醉
Pediatr Emerg Care. 2023 Feb 1;39(2):e30-e34. doi: 10.1097/PEC.0000000000002607. Epub 2022 Jan 12.
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A brief educational intervention is effective in teaching the femoral nerve block procedure to first-year emergency medicine residents.简短的教育干预措施对于向一年级急诊医学住院医师传授股神经阻滞操作是有效的。
J Emerg Med. 2013 Nov;45(5):726-30. doi: 10.1016/j.jemermed.2013.04.051. Epub 2013 Aug 30.

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