Angert Robert, Rosen Orna
Pediatrics and Neonatology, NYU Langone Medical Center, New York, USA.
Pediatrics and Neonatology, Children's Hospital at Montefiore, New York, USA.
Cureus. 2021 Apr 13;13(4):e14475. doi: 10.7759/cureus.14475.
Pericardial effusion is a potentially lethal condition. If it is discovered early, it can be treated by pericardiocentesis under controlled condition with imaging by experienced care providers. If it is diagnosed at a later stage with clinical compromise, then an emergent procedure might be necessary. Since it is encountered infrequently, many providers may have little or no experience in managing the condition and performing a life-saving pericardiocentesis. This is a technical report that describes the creation of a neonatal model for pericardiocentesis. This is a high-fidelity, low-cost model that is simple to create. Materials that are inexpensive and easy to obtain are utilized to make the model. Neonatal care providers, including residents, fellows, nurse practitioners, physician assistants, and attendings, can practice with this model. In some medical centers, an echocardiogram or bedside ultrasound is available to guide needle insertion; however, practicing the procedure on a model provides valuable experience. This model is designed to teach the performance of unguided pericardiocentesis without the use of simultaneous imaging. Included with this technical report are a supply list, a checklist, and a suggested scenario that can be used in association with this model. In this article, we have discussed our own experience and described lessons learned about training neonatal care providers in pericardiocentesis.
心包积液是一种潜在的致命病症。如果早期发现，可由经验丰富的医护人员在影像引导的可控条件下通过心包穿刺术进行治疗。如果在后期出现临床症状时才确诊，则可能需要进行紧急手术。由于这种情况不常遇到，许多医护人员在处理该病症及进行挽救生命的心包穿刺术方面可能经验很少或全无经验。这是一份技术报告，描述了一种用于心包穿刺术的新生儿模型的创建。这是一个高保真、低成本且易于创建的模型。使用了廉价且易于获取的材料来制作该模型。包括住院医师、研究员、执业护士、医师助理和主治医师在内的新生儿护理人员都可以使用这个模型进行练习。在一些医疗中心，可以使用超声心动图或床边超声来引导针头插入；然而，在模型上练习该操作能提供宝贵的经验。这个模型旨在教授在不使用同步成像的情况下进行非引导心包穿刺术的操作。这份技术报告还附带了一份用品清单、一份检查清单以及一个可与此模型配合使用的建议场景。在本文中，我们讨论了我们自己的经验，并描述了在培训新生儿护理人员进行心包穿刺术方面所吸取的经验教训。
