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将肉块用作超声引导下穿刺技能训练模型的研究:一项前瞻性盲法研究。

The use of joints of meat as phantoms for ultrasound-guided needling skills: a prospective blinded study.

作者信息

Samuel Jasmine, Kerr Euan, Young David, Watson Malcolm, Raj Diana

机构信息

Department of Anaesthesia, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, G51 4TF, Scotland.

Department of Mathematics and Statistics, University of Strathclyde, Glasgow, Scotland.

出版信息

Ultrasound J. 2022 Mar 26;14(1):14. doi: 10.1186/s13089-022-00263-9.

DOI:10.1186/s13089-022-00263-9
PMID:35347463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8960540/
Abstract

BACKGROUND

Needle visualisation during ultrasound-guided procedures is a skill that can be difficult to practise, with commercially available phantoms being expensive and often unrealistic. Our aim was to find an inexpensive, reproducible model that could be used to assist in developing this skill.

METHODS

Pork shoulder, beef brisket, and lamb shoulder joints were compared to a standard blue ultrasound phantom. Five 'chunky' yarn pieces were twisted together and threaded through each joint to simulate hyperechoic nerves. Participants were instructed to ultrasound each specimen and insert a needle close to a nerve like structure. Using a visual analogue scale, specimens were scored based on realism of appearances of ultrasound images and 'feel' of needling.

RESULTS

38 people participated. All specimens of meat scored significantly higher than the blue phantom (p = 0.01). There was no significant difference between the different types of meat.

CONCLUSIONS

Pork, beef and lamb joints are an effective model to use for simulation training for needling skills. They have limited lifespan, but due to its relatively low cost, it is feasible to discard the meat after each training workshop. We hope the use of inexpensive meat products will make ultrasound simulation training simpler to organise and more effective.

摘要

背景

在超声引导操作过程中实现针可视化是一项难以练习的技能,市面上的模拟体模价格昂贵且往往不切实际。我们的目的是找到一种廉价、可重复使用的模型,用于辅助培养这项技能。

方法

将猪肩肉、牛腩和羊肩关节与标准蓝色超声模拟体模进行比较。将五根“粗”纱线拧在一起,穿过每个关节,以模拟高回声神经。指导参与者对每个标本进行超声检查,并在类似神经的结构附近插入一根针。使用视觉模拟评分量表,根据超声图像外观的逼真程度和针刺“感觉”对标本进行评分。

结果

38人参与。所有肉类标本的得分均显著高于蓝色模拟体模(p = 0.01)。不同类型的肉之间没有显著差异。

结论

猪、牛和羊的关节是用于针刺技能模拟训练的有效模型。它们的使用寿命有限,但由于成本相对较低,在每次培训工作坊后丢弃肉类是可行的。我们希望使用廉价的肉类产品将使超声模拟训练更易于组织且更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/db6de45e6a13/13089_2022_263_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/0dff8a6ebbd2/13089_2022_263_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/29546384a3c0/13089_2022_263_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/a6a0273bd1b3/13089_2022_263_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/db6de45e6a13/13089_2022_263_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/0dff8a6ebbd2/13089_2022_263_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/29546384a3c0/13089_2022_263_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/a6a0273bd1b3/13089_2022_263_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e3/8960540/db6de45e6a13/13089_2022_263_Fig4_HTML.jpg

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Future directions in regional anaesthesia: not just for the cognoscenti.区域麻醉的未来发展方向:不仅仅面向专业人士。
Anaesthesia. 2020 Mar;75(3):293-297. doi: 10.1111/anae.14768. Epub 2019 Jul 3.
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成像测试体综述。
J Biomed Opt. 2023 Aug;28(8):080903. doi: 10.1117/1.JBO.28.8.080903. Epub 2023 Aug 22.
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