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我们能否改进经皮扩张气管切开术的支气管镜引导教学？

Can we improve teaching and learning of percutaneous dilatational tracheostomy's bronchoscopic guidance?

作者信息

Abbott Francisco, Ortega Marcos, Bravo Sebastian, Basoalto Roque, Kattan Eduardo

机构信息

Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Departamento de Enfermedades Respiratorias, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

SAGE Open Med. 2021 Mar 17;9:20503121211002321. doi: 10.1177/20503121211002321. eCollection 2021.

DOI:10.1177/20503121211002321
PMID:33796301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7983236/
Abstract

Percutaneous dilatational tracheostomy has become the technique of choice in multiple intensive care units. Among innovations to improve procedural safety and success, bronchoscopic guidance of percutaneous dilatational tracheostomy has been advocated and successfully implemented by multiple groups. Most published literature focuses on the percutaneous dilatational tracheostomy operator, with scarce descriptions of the bronchoscopic particularities of the procedure. In this article, we provide 10 suggestions to enhance specific procedural aspects of bronchoscopic guidance of percutaneous dilatational tracheostomy, and strategies to optimize its teaching and learning, in order to promote learners' competence acquisition and increase patient safety.

摘要

经皮扩张气管切开术已成为多个重症监护病房的首选技术。在旨在提高手术安全性和成功率的创新方法中，经皮扩张气管切开术的支气管镜引导已得到多个团队的提倡并成功实施。大多数已发表的文献聚焦于经皮扩张气管切开术的操作者，而对该手术的支气管镜操作特点描述甚少。在本文中，我们提供了10条建议，以加强经皮扩张气管切开术支气管镜引导特定手术环节，并给出优化其教学的策略，以促进学习者能力的获得并提高患者安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598d/7983236/a6ef7968c71c/10.1177_20503121211002321-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598d/7983236/aa1c9d926a79/10.1177_20503121211002321-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598d/7983236/210b8acc4388/10.1177_20503121211002321-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598d/7983236/a6ef7968c71c/10.1177_20503121211002321-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598d/7983236/aa1c9d926a79/10.1177_20503121211002321-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598d/7983236/210b8acc4388/10.1177_20503121211002321-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598d/7983236/a6ef7968c71c/10.1177_20503121211002321-fig3.jpg

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ATS Sch. 2020 Apr 13;1(2):134-144. doi: 10.34197/ats-scholar.2019-0015OC.
2
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Acta Anaesthesiol Scand. 2021 Feb;65(2):244-256. doi: 10.1111/aas.13716. Epub 2020 Oct 16.
3
Characterization of Experimental and Clinical Bioaerosol Generation During Potential Aerosol-Generating Procedures.
潜在气溶胶生成操作过程中实验和临床生物气溶胶的产生特征。
Chest. 2020 Dec;158(6):2467-2473. doi: 10.1016/j.chest.2020.07.026. Epub 2020 Jul 21.
4
Simulation-Based Mastery Learning of Bronchoscopy-Guided Percutaneous Dilatational Tracheostomy: Competency Acquisition and Skills Transfer to a Cadaveric Model.基于模拟的支气管镜引导经皮扩张气管切开术掌握性学习：在尸体模型中的能力获得和技能转移。
Simul Healthc. 2021 Jun 1;16(3):157-162. doi: 10.1097/SIH.0000000000000491.
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The Use of Bronchoscopy During the Coronavirus Disease 2019 Pandemic: CHEST/AABIP Guideline and Expert Panel Report.《2019 冠状病毒病疫情期间支气管镜的应用：CHEST/AABIP 指南和专家报告》。
Chest. 2020 Sep;158(3):1268-1281. doi: 10.1016/j.chest.2020.04.036. Epub 2020 May 1.
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Design and Evaluation of a Low-Cost Bronchoscopy-Guided Percutaneous Dilatational Tracheostomy Simulator.低成本支气管镜引导经皮扩张气管切开术模拟器的设计与评估。
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Performance, Long-term Management, and Coding for Percutaneous Dilational Tracheostomy.经皮扩张性气管切开术的操作、长期管理和编码。
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