Martin David A, Guillen Marco, Farro Angel, Condori Maribel, Dreyfuss Andrea, Nagdev Arun
Highland Hospital - Alameda Health System, Department of Emergency Medicine, Oakland, California.
EsSalud Cusco: Hospital Nacional Adolfo Guevara Velasco, Department of Emergency Medicine, Cusco, Peru.
Clin Pract Cases Emerg Med. 2022 Aug;6(3):204-207. doi: 10.5811/cpcem.2022.2.55417.
Ultrasound-guided nerve blocks (UGNB) represent a procedural skill set that can be used to treat acute pain by physicians in the emergency department (ED). However, limited access to education and training represents a barrier to widespread adoption of this core skill set. The implementation of UGNBs within the ED can aid in resource allocation, particularly in limited-resource settings.
In this case series we discuss our experience using tele-ultrasound to train emergency physicians on the use of UGNBs within our international point-of-care ultrasound fellowship in Peru. We highlight the potential role UGNBs serve in management of acute pain when working in resource-limited, public safety-net hospitals in Peru.
Tele-ultrasound may represent a strategy for teaching procedures such as UGNBs via remote guidance and supervision.
超声引导神经阻滞（UGNB）是一种可由急诊科医生用于治疗急性疼痛的操作技能。然而，教育和培训机会有限是广泛采用这一核心技能的障碍。在急诊科实施UGNB有助于资源分配，尤其是在资源有限的环境中。
在本病例系列中，我们讨论了在秘鲁的国际即时超声 fellowship 项目中，利用远程超声培训急诊医生使用UGNB的经验。我们强调了在秘鲁资源有限的公共安全网医院工作时，UGNB在急性疼痛管理中可能发挥的作用。
远程超声可能是一种通过远程指导和监督来教授UGNB等操作的策略。
