增强喉镜操作技能：带反馈功能模拟器自主练习的影响。
Enhancing Laryngoscopy Mastery: The Impact of Autonomous Practice with Feedback-Providing Simulators.
机构信息
From the School of Medicine, UCSF, San Francisco, California.
Departments of Emergency Medicine.
出版信息
A A Pract. 2024 Jul 22;18(7):e01825. doi: 10.1213/XAA.0000000000001825. eCollection 2024 Jul 1.
Abstract
Mastery learning with fixed end points and variable training time leads to more consistent expertise but is difficult to implement. Here we piloted mastery learning of laryngoscopy with independent practice. 35 learners participated in independent mastery learning on a manikin that provides automated performance feedback. A pre- and postpractice assessment of intubation skills was completed. After an average of 21 minutes of open practice, the percentage of subjects that met mastery criteria improved from 24% to 89% (P < .05). Independent intubation practice with manikin feedback facilitated mastery learning, enhanced procedural education, and may impact clinical care.
摘要
掌握学习具有固定终点和可变训练时间，可导致更一致的专业知识，但难以实施。在这里，我们通过独立练习对喉镜检查进行掌握学习试点。35 名学习者在可提供自动性能反馈的模型上参与独立掌握学习。在练习前后，对插管技能进行评估。在平均 21 分钟的开放练习后，符合掌握标准的受试者比例从 24%提高到 89%（P<.05）。带有模型反馈的独立插管练习促进了掌握学习，增强了程序教育，可能会影响临床护理。
相似文献
1
Enhancing Laryngoscopy Mastery: The Impact of Autonomous Practice with Feedback-Providing Simulators.增强喉镜操作技能：带反馈功能模拟器自主练习的影响。
A A Pract. 2024 Jul 22;18(7):e01825. doi: 10.1213/XAA.0000000000001825. eCollection 2024 Jul 1.
2
Augmented Reality-Assisted Video Laryngoscopy and Simulated Neonatal Intubations: A Pilot Study.增强现实辅助视频喉镜和模拟新生儿插管：一项初步研究。
Pediatrics. 2021 Mar;147(3). doi: 10.1542/peds.2020-005009.
3
[Comparison of five video laryngoscopes and conventional direct laryngoscopy : Investigations on simple and simulated difficult airways on the intubation trainer].[五种视频喉镜与传统直接喉镜的比较：在插管训练器上对简单及模拟困难气道的研究]
Anaesthesist. 2015 Jul;64(7):513-9. doi: 10.1007/s00101-015-0051-5. Epub 2015 Jul 15.
4
Simulation of pediatric intubation using a low-cost videolaryngoscope in the setting of the COVID-19 pandemic.在 COVID-19 大流行期间，使用低成本可视喉镜对儿科患者进行插管的模拟。
Arch Argent Pediatr. 2021 Aug;119(4):270-272. doi: 10.5546/aap.2021.eng.270.
5
6
Comparison of C-MAC, McGrath and Macintosh laryngoscope use in a standardized airway manikin with immobilized cervical spine by novice intubators.新手插管人员在颈椎固定的标准化气道模型中使用C-MAC喉镜、麦格拉思喉镜和麦金托什喉镜的比较。
Am J Emerg Med. 2017 Sep;35(9):1368-1370. doi: 10.1016/j.ajem.2017.03.016. Epub 2017 Mar 10.
7
Comparison of Macintosh and AWS Pentax laryngoscope for intubation in cervical immobilization scenario.麦金托什喉镜与AWS宾得喉镜在颈椎固定情况下用于气管插管的比较。
Am J Emerg Med. 2017 May;35(5):791-792. doi: 10.1016/j.ajem.2016.12.049. Epub 2016 Dec 22.
8
ETView® video-tube versus Intubrite® laryngoscope for endotracheal intubation during CPR.在心肺复苏期间，ETView®可视喉镜与Intubrite®喉镜用于气管插管的比较。
Am J Emerg Med. 2017 Sep;35(9):1367-1368. doi: 10.1016/j.ajem.2017.03.006. Epub 2017 Mar 2.
9
A comparison of a fiberoptic stylet and a bougie as adjuncts to direct laryngoscopy in a manikin-simulated difficult airway.在模拟人体模型的困难气道中，比较纤维光导探条和探条作为直接喉镜检查辅助工具的效果。
Ann Emerg Med. 2007 Dec;50(6):676-85. doi: 10.1016/j.annemergmed.2007.05.022. Epub 2007 Aug 3.
10
Tracheal intubation of pediatric manikins during ongoing chest compressions. Does Glidescope® videolaryngoscope improve pediatric residents' performance?在持续胸外按压期间对儿童人体模型进行气管插管。Glidescope®视频喉镜能否提高儿科住院医师的操作表现？
Eur J Pediatr. 2014 Oct;173(10):1387-90. doi: 10.1007/s00431-014-2329-z. Epub 2014 May 6.
引用本文的文献
1
Using the predictive model of difficult endotracheal intubation to examine different simulators for airway management training: a pilot cross-sectional observational study.使用困难气管插管预测模型来检验用于气道管理培训的不同模拟器：一项试点横断面观察性研究。
BMC Med Educ. 2025 Jun 6;25(1):848. doi: 10.1186/s12909-025-07413-2.
本文引用的文献
1
Simulation-based procedure training (SBPT) in rarely performed procedures: a blueprint for theory-informed design considerations.针对罕见手术的基于模拟的手术培训（SBPT）：理论指导设计考量的蓝图
Adv Simul (Lond). 2022 May 8;7(1):13. doi: 10.1186/s41077-022-00205-4.
2
Unpacking economic programme theory for supervision training: Preliminary steps towards realist economic evaluation.剖析用于监管培训的经济计划理论：迈向现实主义经济评估的初步步骤。
Med Educ. 2022 Apr;56(4):407-417. doi: 10.1111/medu.14701. Epub 2021 Dec 19.
3
Predicting Trainee Clinical Success From Performance at Simulated Endotracheal Intubation.从模拟气管插管操作中预测学员的临床成功。
Simul Healthc. 2021 Dec 1;16(6):e123-e128. doi: 10.1097/SIH.0000000000000527.
4
Association of Checklist Use in Endotracheal Intubation With Clinically Important Outcomes: A Systematic Review and Meta-analysis.检查表在气管插管中应用与临床重要结局的关联：系统评价和荟萃分析。
JAMA Netw Open. 2020 Jul 1;3(7):e209278. doi: 10.1001/jamanetworkopen.2020.9278.
5
Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy.改变观点：基于模拟的掌握学习对小儿视频喉镜气管插管的影响。
J Pediatr (Rio J). 2021 Jan-Feb;97(1):30-36. doi: 10.1016/j.jped.2019.12.007. Epub 2020 Mar 8.
6
Simulation-based Airway Management Training for Anesthesiologists - A Brief Review of its Essential Role in Skills Training for Clinical Competency.基于模拟的麻醉医生气道管理培训——其在临床能力技能培训中的重要作用简述
J Educ Perioper Med. 2017 Oct 1;19(4):E612. eCollection 2017 Oct-Dec.
7
How to Write Well-Defined Learning Objectives.如何撰写定义明确的学习目标。
J Educ Perioper Med. 2017 Oct 1;19(4):E610. eCollection 2017 Oct-Dec.
8
The self-regulated learning of medical students in the clinical environment - a scoping review.医学生在临床环境中的自主学习——一项范围综述
BMC Med Educ. 2017 Jul 10;17(1):112. doi: 10.1186/s12909-017-0956-6.
9
Linking quality of care and training costs: cost-effectiveness in health professions education.将护理质量与培训成本相联系：卫生专业教育中的成本效益
Med Educ. 2015 Dec;49(12):1263-71. doi: 10.1111/medu.12882.
10
Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice.通过模拟独立实践进行学习比通过模拟监督实践进行学习，更有助于在模拟危机中取得更好的未来表现。
Br J Anaesth. 2015 May;114(5):794-800. doi: 10.1093/bja/aeu457. Epub 2015 Jan 8.
Zotero 插件