Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
J Int Med Res. 2020 Mar;48(3):300060519896909. doi: 10.1177/0300060519896909.
This study was performed to assess the impact of simulation-based training for ultrasound-guided transversus abdominis plane (TAP) block using anesthetized pigs.
In this prospective study, 23 participating residents (10 in their second year, 13 in their third year) underwent simulation-based training for ultrasound-guided TAP block. The residents completed standard questionnaires comprising 10 multiple-choice questions regarding essential general knowledge of abdominal ultrasound and TAP block before and after the training session. On a 5-point Likert scale, they reported their levels of comfort with the use of ultrasound and block equipment, subject/operator positioning, proper block technique, image documentation, needle handling, anxiety, and their overall confidence with the procedure.
Compared with those before training, the comfort levels of the residents significantly improved for all measures except needle handling. The participants also indicated significantly reduced anxiety regarding performance of the TAP block technique.
The use of anesthetized pigs in simulation-based training for ultrasound-guided TAP block improves procedural knowledge and confidence while reducing the associated anxiety in anesthesiology trainees.
本研究旨在评估使用麻醉猪进行基于模拟的经腹横肌平面（TAP）阻滞超声引导培训对超声引导 TAP 阻滞的影响。
在这项前瞻性研究中，23 名参与的住院医师（第二年 10 名，第三年 13 名）接受了超声引导 TAP 阻滞的基于模拟的培训。住院医师在培训前后完成了包含 10 个多项选择题的标准问卷，内容涉及腹部超声和 TAP 阻滞的基本一般知识。他们使用 5 分制 Likert 量表报告了他们对使用超声和阻滞设备、患者/操作者定位、正确的阻滞技术、图像记录、针处理、焦虑程度以及对整个程序的总体信心的舒适度。
与培训前相比，除了针处理外，住院医师在所有测量指标上的舒适度都显著提高。参与者在进行 TAP 阻滞技术时的焦虑程度也显著降低。
在基于模拟的培训中使用麻醉猪进行超声引导 TAP 阻滞可以提高程序知识和信心，同时减少麻醉学受训者的相关焦虑。
