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在虚拟现实环甲膜切开术模拟器上进行训练可提高技能,并能将技能迁移至模拟操作中。

Training on a virtual reality cricothyroidotomy simulator improves skills and transfers to a simulated procedure.

作者信息

Sankaranarayanan Ganesh, Odlozil Coleman A, Hasan Salman S, Shabbir Rehma, Qi Di, Turkseven Melih, De Suvranu, Funk Geoffrey, Weddle Rebecca J

机构信息

Baylor University Medical Center at Dallas, Dallas, Texas, USA.

Mechanical, Aerospace and Nuclear Engineering, Rensselaer Polytechnic Institute, Troy, NY, USA.

出版信息

Trauma Surg Acute Care Open. 2022 Mar 1;7(1):e000826. doi: 10.1136/tsaco-2021-000826. eCollection 2022.

Abstract

OBJECTIVE

The virtual airway skills trainer (VAST) is a virtual reality simulator for training in cricothyroidotomy (CCT). The goal of the study is to test the effectiveness of training and transfer of skills of the VAST-CCT.

METHODS

Two groups, control (no training) and simulation (2 weeks of proficiency-based training), participated in this study. Subjects in the control condition did not receive any training on the task whereas those in the simulation received a proficiency-based training on the task during a period of 2 weeks. Two weeks post-training, both groups performed CCT on the TraumaMan to demonstrate the transfer of skills.

RESULTS

A total of (n=20) subjects participated in the study. The simulation group performed better than the control group at both the post-test (p<0.001) and retention test (p<0.001) on the simulator. The cumulative sum analysis showed that all subjects in the simulation group reached proficiency with acceptable failure rate within the 2 weeks of training. On the transfer test, the simulation group performed better on skin cut (p<0.001), intubation (p<0.001) and total score (p<0.001) than the control group.

CONCLUSIONS

The VAST-CCT is effective in training and skills transfer for the CCT procedure.

LEVEL OF EVIDENCE

Not applicable. Simulator validation study.

摘要

目的

虚拟气道技能训练器(VAST)是一种用于环甲膜切开术(CCT)训练的虚拟现实模拟器。本研究的目的是测试VAST-CCT的训练效果及技能迁移情况。

方法

两组参与了本研究,即对照组(无训练)和模拟组(基于熟练度的2周训练)。对照组的受试者未接受任何关于该任务的训练,而模拟组的受试者在2周内接受了基于熟练度的该任务训练。训练后两周,两组在创伤模拟人上进行环甲膜切开术以展示技能迁移情况。

结果

共有(n = 20)名受试者参与了本研究。模拟组在模拟器的后测(p < 0.001)和保留测试(p < 0.001)中表现均优于对照组。累积和分析表明,模拟组的所有受试者在2周训练内均达到了熟练度且失败率可接受。在迁移测试中,模拟组在皮肤切开(p < 0.001)、插管(p < 0.001)和总分(p < 0.001)方面的表现均优于对照组。

结论

VAST-CCT在环甲膜切开术的训练和技能迁移方面是有效的。

证据水平

不适用。模拟器验证研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af4d/8889411/620d7886f866/tsaco-2021-000826f01.jpg

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