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在新生儿心脏压塞的急性处理中,床边超声技能和基于模拟的训练作为基本能力的实用性。

Usefulness of skills in point of care ultrasound and simulation-based training as essential competencies in acute management of neonatal cardiac tamponade.

机构信息

Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India

出版信息

BMJ Case Rep. 2024 Feb 17;17(2):e256151. doi: 10.1136/bcr-2023-256151.

Abstract

Peripherally inserted central catheter (PICC) insertion is a routine procedure in the neonatal intensive care unit required for prolonged intravenous fluid, nutrition and medication support. Neonatal cardiac tamponade is a serious and rare complication of PICC line insertion. Early detection by point of care ultrasound (POCUS) and management by pericardiocentesis improves the chances of survival. Regular simulation-based training sessions on a mannequin, along with knowledge of POCUS, can assist neonatologists and paediatricians for a quick and appropriate response in this emergency condition.

摘要

经外周静脉穿刺中心静脉置管(PICC)是新生儿重症监护病房的常规操作,需要长时间静脉补液、营养和药物支持。新生儿心脏压塞是 PICC 置管的严重且罕见的并发症。通过即时超声(POCUS)早期发现和心包穿刺引流治疗,可以提高患儿的生存率。在模型上进行基于模拟的定期培训课程,以及了解 POCUS,可以帮助新生儿科医生和儿科医生在这种紧急情况下快速做出适当的反应。

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