移动环甲膜切开术模拟车提高了麻醉师的信心、技术技能和操作时间。

Mobile Cricothyrotomy Simulation Cart Improves Anesthesia Providers' Confidence, Technical Skills, and Procedure Time.

机构信息

is a staff CRNA with Envision at St. Anthony's Hospital in St. Petersburg, Florida and is a graduate of the Duke University Nurse Anesthesia Program.

has practiced as a CRNA in academic institutions, community hospitals, and outpatient and office-based practices since 2012.

出版信息

AANA J. 2022 Jun;90(3):206-214.

PMID:35604863

Abstract

Cricothyrotomy is an invasive airway used in "cannot intubate, cannot ventilate" events and can be taught using simulation. A mobile cricothyrotomy simulation for 66 anesthesia providers included an initial cricothyrotomy attempt (pretest), education, practice and feedback, and a second cricothyrotomy attempt (posttest). Provider confidence, skills, and procedure time were measured. Comparison of the posttest to the pretest showed significant improvement in: (a) provider confidence scores (Z = 7.01, P < .001), (b) technical skills (Global Rating Scale for Cricothyrotomy: Z = 7.05, P <.001; Checklist for Cricothyrotomy Performance: Z = 7.07, P < .001), and (c) procedure time (Z = 2.68, P = .007). The mobile cricothyrotomy simulation significantly improved anesthesia providers' confidence, cricothyrotomy skills, and procedure time.

摘要

环甲膜切开术是一种在“无法插管，无法通气”事件中使用的有创气道，可以通过模拟教学来进行。一项针对 66 名麻醉师的移动环甲膜切开术模拟包括初次环甲膜切开术尝试（预测试）、教育、练习和反馈，以及第二次环甲膜切开术尝试（后测试）。测量了提供者的信心、技能和程序时间。后测试与预测试的比较显示出以下方面的显著改善：（a）提供者信心评分（Z = 7.01，P <.001），（b）技术技能（环甲膜切开术全球评分量表：Z = 7.05，P <.001；环甲膜切开术表现检查表：Z = 7.07，P <.001），以及（c）程序时间（Z = 2.68，P =.007）。移动环甲膜切开术模拟显著提高了麻醉师的信心、环甲膜切开术技能和程序时间。