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巴西麻醉住院医师心脏床旁超声课程的开发:是时候采取行动了。

Development of a Cardiac Point-of-Care Ultrasound Curriculum for Anesthesia Residents in Brazil: It is Time to Act.

作者信息

De Vasconcelos Papa Fabio, Guilherme Villares Da Costa Luiz

机构信息

Dalla Lana School of Public Health, University of Toronto.

Takaoka Anesthesia, Albert Einstein Hospital Sao Paulo Brazil.

出版信息

POCUS J. 2021 Nov 23;6(2):117-120. doi: 10.24908/pocus.v6i2.14780. eCollection 2021.

DOI:10.24908/pocus.v6i2.14780
PMID:36895663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9979902/
Abstract

Although the use of cardiac point-of-care ultrasound in anesthesia is well established, with strong evidence supporting its benefit while managing hemodynamically unstable patients during the perioperative period, there is a lack of standardized curriculums incorporating this diagnostic modality as part of the anesthesia residency training. This report aims to describe a FOCUS curriculum based on adult learning theories, and to suggest its implementation as part of the anesthesia residency training considering the learners' (i) previous experience with ultrasound, (ii) level of training in anesthesia, (iii) and other challenges that can impact the organization and delivery of this project.

摘要

虽然在麻醉中使用床旁心脏超声检查已得到充分认可,有强有力的证据支持其在围手术期处理血流动力学不稳定患者时的益处,但缺乏将这种诊断方式纳入麻醉住院医师培训课程的标准化课程。本报告旨在描述一种基于成人学习理论的聚焦心脏超声(FOCUS)课程,并建议将其作为麻醉住院医师培训的一部分来实施,同时考虑学习者的(i)超声既往经验、(ii)麻醉培训水平、(iii)以及可能影响该项目组织和实施的其他挑战。

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Development of a Cardiac Point-of-Care Ultrasound Curriculum for Anesthesia Residents in Brazil: It is Time to Act.巴西麻醉住院医师心脏床旁超声课程的开发:是时候采取行动了。
POCUS J. 2021 Nov 23;6(2):117-120. doi: 10.24908/pocus.v6i2.14780. eCollection 2021.
2
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本文引用的文献

1
The effectiveness of the Peyton's 4-step teaching approach on skill acquisition of procedures in health professions education: A systematic review and meta-analysis with integrated meta-regression.佩顿四步教学法在健康职业教育中程序技能习得方面的有效性:一项整合元回归的系统评价与荟萃分析
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Synopsis of the point-of-care ultrasound assessment for perioperative emergencies.围手术期紧急情况的即时超声评估概要。
Can J Anaesth. 2019 Apr;66(4):448-460. doi: 10.1007/s12630-019-01303-0. Epub 2019 Feb 19.
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Impact assessment of perioperative point-of-care ultrasound training on anesthesiology residents.围手术期即时超声培训对麻醉科住院医师的影响评估
Anesthesiology. 2015 Sep;123(3):670-82. doi: 10.1097/ALN.0000000000000776.
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International Federation for Emergency Medicine point of care ultrasound curriculum.国际急诊医学联合会床旁超声课程
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Focused cardiac ultrasound: recommendations from the American Society of Echocardiography.聚焦心脏超声检查:美国超声心动图学会的建议
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Anesthesiology. 2013 Feb;118(2):361-75. doi: 10.1097/ALN.0b013e31827bd172.
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The impact on cardiac diagnosis and mortality of focused transthoracic echocardiography in hip fracture surgery patients with increased risk of cardiac disease: a retrospective cohort study.经胸超声心动图对心脏病风险增加的髋部骨折手术患者的心脏诊断和死亡率的影响:一项回顾性队列研究。
Anaesthesia. 2012 Nov;67(11):1202-9. doi: 10.1111/j.1365-2044.2012.07300.x. Epub 2012 Sep 5.
8
International expert statement on training standards for critical care ultrasonography.国际重症超声培训标准专家声明
Intensive Care Med. 2011 Jul;37(7):1077-83. doi: 10.1007/s00134-011-2246-9. Epub 2011 May 26.
9
Teaching procedural skills.教授操作技能。
BMJ. 2008 May 17;336(7653):1129-31. doi: 10.1136/bmj.39517.686956.47.
10
Ultrasound-guided regional anesthesia: current state of the art.超声引导区域麻醉:当前技术水平
Anesthesiology. 2006 Feb;104(2):368-73, discussion 5A. doi: 10.1097/00000542-200602000-00024.