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在临床环境之外训练体外膜肺氧合 (ECMO) 插管的组成步骤。

Training the component steps of an extra-corporeal membrane oxygenation (ECMO) cannulation outside the clinical setting.

机构信息

Department of Pediatric Surgery, Radboudumc - Amalia Children's Hospital, Route 618, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.

Department of Pediatric Surgery, Princess Maxima Center, Utrecht, The Netherlands.

出版信息

J Artif Organs. 2020 Dec;23(4):328-334. doi: 10.1007/s10047-020-01176-x. Epub 2020 Jun 8.

Abstract

Extra-corporeal membrane oxygenation (ECMO) cannulation can be a stressful procedure because a fast cannulation is vital for the patient's survival. Therefore, it is important to train the steps of cannulation outside the clinical setting. A relatively low budget, easy to use model, was developed to train the most important steps of an ECMO cannulation. Following this, it was evaluated by experts and target group participants. They all completed a questionnaire regarding their experience and opinions on the ECMO model on general aspects and the training of the component steps, rated on a 5-point Likert scale. Twenty-one participants completed the questionnaire. The features and steps of the model were rated with a mean of 3.9 on average. The haptics of the landscape scored least, with a mean of 3.6, although the haptics of the vessels scored highest with 4.0. The rating of the component steps showed that only 'opening of the vessels' was scored significantly different between the expertise levels (means experts: 4.0, target group: 3.4, p = 0.032). This low budget model is considered to be a valid tool to train the component steps of the ECMO cannulation, which could reduce the learning curve in the a stressful clinical setting. Level of evidence: II prospective comparative study.

摘要

体外膜肺氧合(ECMO)置管是一项有压力的操作,因为快速置管对患者的生存至关重要。因此,在临床环境之外训练置管步骤非常重要。本研究开发了一种相对预算较低、易于使用的模型,用于训练 ECMO 置管的最重要步骤。随后,由专家和目标人群参与者对其进行评估。他们均就 ECMO 模型的一般方面以及组件步骤的培训完成了一份问卷调查,采用 5 分李克特量表进行评分。共有 21 名参与者完成了问卷调查。模型的特点和步骤平均得分为 3.9。尽管血管触感最高,得分为 4.0,但景观触感的评分最低,平均得分为 3.6。组件步骤的评分表明,只有“打开血管”在专业知识水平之间存在显著差异(专家平均得分为 4.0,目标群体平均得分为 3.4,p=0.032)。这种低预算模型被认为是训练 ECMO 置管组件步骤的有效工具,可以减少临床环境中置管的学习曲线。证据水平:II 期前瞻性比较研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da6/7666290/559dffceb647/10047_2020_1176_Fig1_HTML.jpg

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