美国居民在甲状腺和甲状旁腺手术中进行术中神经监测的经历。
US residents experiences with intraoperative nerve monitoring in thyroid and parathyroid surgery.
作者信息
Wong Anni, Ahsanuddin Salma, Teng Marita, Abdelhamid Ahmed Amr H, Randolph Gregory W, Sinclair Catherine
机构信息
Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
出版信息
Head Neck. 2023 Aug;45(8):2009-2016. doi: 10.1002/hed.27427. Epub 2023 Jun 9.
BACKGROUND
Understanding the patterns of IONM use and training among resident otolaryngologists is essential to ensure that the IONM skills and knowledge gained in residency are optimized for successful future practice of IONM.
METHOD
An electronic survey was distributed to US-based OHNS residents. Questions evaluated resident experience, implementation, knowledge and understanding of IONM for endocrine surgeries.
RESULTS
One hundred and seven OHNS residents participated, spanning all training levels and US geographic locations. The majority of residents received no didactic teaching on IONM (74.5%) nor had a clear troubleshooting algorithm in the event of a loss of signal (69.8%). The majority of residents were uncertain regarding the advantages/disadvantages of continuous versus intermittent IONM.
CONCLUSION
The knowledge gap found in our survey study suggests that greater teaching of IONM principles for endocrine head and neck surgeries in OHNS residency programs would help to ensure successful utilization in future practice.
背景
了解住院耳鼻喉科医生使用术中神经监测（IONM）的模式和培训情况对于确保住院期间获得的IONM技能和知识能在未来成功开展IONM实践中得到优化至关重要。
方法
向美国的耳鼻喉头颈外科（OHNS）住院医生发放了一份电子调查问卷。问题评估了住院医生在内分泌手术中使用IONM的经验、实施情况、知识和理解。
结果
107名OHNS住院医生参与了调查，涵盖所有培训水平和美国不同地理位置。大多数住院医生未接受过关于IONM的理论教学（74.5%），在信号丢失时也没有明确的故障排除算法（69.8%）。大多数住院医生不确定连续IONM与间歇性IONM的优缺点。
结论
我们的调查研究中发现的知识差距表明，在OHNS住院医师培训项目中加强内分泌头颈手术IONM原理的教学将有助于确保其在未来实践中的成功应用。
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