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新生儿泰尔氏防腐法:医学培训中的方法和益处。

Thiel embalming in neonates: methodology and benefits in medical training.

机构信息

Medical School, University of Miguel Hernández de Elche, Sant Joan d'Alacant, Spain.

Pediatric Service, Pediatric Cardiology Unit, San Juan de Alicante University Hospital (Alicante, Spain), Carretera Nacional 332, Alicante-Valencia s/n, 03550, Sant Joan d'Alacant, Spain.

出版信息

Anat Sci Int. 2022 Jul;97(3):290-296. doi: 10.1007/s12565-022-00650-1. Epub 2022 Feb 8.

Abstract

Current teaching and training methods for surgical techniques in the pediatric population involve artificial models (manikins), animals or adult human cadavers embalmed using various techniques. We found no references in the literature concerning the use of the Thiel method in the pediatric population. The aim of this study, therefore, was to assess the viability of using pediatric human cadavers embalmed through Thiel's technique and to compare them with standard pediatric manikins. After donation of a 24-week stillborn, the Thiel technique was carried out for fixation following the usual protocol. A video recording with eye-tracking glasses was used to perform an examination, and techniques. The same procedures were conducted on a pediatric manikin. Medical students, medical residents and physicians were asked to respond to questions in an online survey after being shown the video. A total of 92 responses were obtained. The Thiel-embalmed stillborn was assessed as superior to the manikin in all items. Our study confirmed that this technique is feasible even with extremely small donors. The value of this form of preservation for medical training is not widely known though it is receiving increasing interest. Our results show that Thiel fixation in pediatrics is clearly more highly valued than a manikin and offers great potential. This innovative application of the Thiel method in the pediatric population is technically possible. It poses no additional difficulties and is very positively assessed for undergraduate and postgraduate teaching.

摘要

目前,儿科人群的手术技术教学和培训方法涉及人工模型(人体模型)、动物或使用各种技术防腐的成人人体尸体。我们在文献中未发现任何关于在儿科人群中使用 Thiel 方法的参考。因此,本研究旨在评估使用经 Thiel 技术防腐的儿科人体尸体的可行性,并将其与标准儿科人体模型进行比较。在捐赠了一名 24 周的死胎后,按照常规方案进行 Thiel 技术固定。使用带眼动追踪眼镜的视频记录进行检查和技术操作。在儿科人体模型上进行相同的程序。在观看视频后,我们要求医学生、住院医师和医生在在线调查中回答问题。共获得 92 份回复。Thiel 防腐的死胎在所有项目中均被评估为优于人体模型。我们的研究证实,即使是非常小的供体,这种技术也是可行的。尽管这种保存形式越来越受到关注,但它在医学培训中的价值尚未得到广泛认可。我们的研究结果表明,Thiel 固定在儿科中的应用明显优于人体模型,具有巨大的潜力。这种在儿科人群中应用 Thiel 方法的创新技术在技术上是可行的。它不会带来额外的困难,并且非常适合本科和研究生教学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eb7/9167811/fae6729a9cd7/12565_2022_650_Fig1_HTML.jpg

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