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使用模拟模型培训临床医生使用即时超声技术。

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound.

机构信息

School of Nursing and Midwifery, Edith Cowan University;

出版信息

J Vis Exp. 2024 Aug 9(210). doi: 10.3791/66905.

Abstract

The use of point-of-care ultrasound (POCUS) has shown to be a beneficial non-invasive vascular access assessment method by clinicians, which can provide critical elements of visual and measurable information that proves to be useful in the context of vascular access cannulation, in combination with the practical skill of the clinician performing the cannulation. However, the use of POCUS in this context is to practically train and enable individuals who are novices in using this technique to become proficient in performing this task subsequently on patients in a careful and successful way. The simulation of these vascular conditions may be useful to help healthcare professionals learn, understand, apply, and establish such practical skills for vascular cannulation safely to achieve the desired outcomes. This project intended, through the attendance of a half-day workshop, to establish skills to use POCUS in connection with simulation models and perform specific tasks to enable clinicians to use this method in their clinical practice for vascular access cannulation in patients. A mixed-methods longitudinal study design was used to evaluate the effect of a point-of-care ultrasound workshop for peripheral intravenous cannula insertion, including specific tasks for the participants to be performed on simulation models. A total of 81 individuals participated in 11 half-day workshops through 2021 and 2022. Offering a workshop that uses simulation models in combination with various POCUS devices is useful in establishing this newly learned skill in clinicians, such as measurements of depth, caliper, and direction of a vein with POCUS prior to cannulation providing essential anatomical facts to the operator, which increases the likelihood of first-time success in cannulation.

摘要

床旁超声(POCUS)的应用已被临床医生证明是一种有益的非侵入性血管通路评估方法,它可以提供可视化和可测量的信息,这些信息在血管通路置管过程中非常有用,结合临床医生进行置管的实际技能。然而,在这种情况下使用 POCUS 是为了实际培训和使那些在使用这项技术方面不熟练的人能够在随后的患者中熟练地进行这项任务。模拟这些血管条件可能有助于帮助医疗保健专业人员学习、理解、应用和安全地建立这种血管穿刺的实际技能,以实现预期的结果。该项目通过参加为期半天的研讨会,旨在建立使用 POCUS 与模拟模型相关联的技能,并执行特定任务,使临床医生能够在他们的临床实践中使用这种方法进行患者的血管通路置管。采用混合方法纵向研究设计来评估外周静脉置管术的床旁超声研讨会的效果,包括参与者在模拟模型上进行的特定任务。共有 81 人参加了 2021 年和 2022 年的 11 次为期半天的研讨会。提供使用模拟模型与各种 POCUS 设备相结合的研讨会,对于在临床医生中建立这种新的学习技能非常有用,例如在置管前使用 POCUS 测量深度、卡尺和静脉方向,为操作者提供必要的解剖学事实,从而增加置管首次成功的可能性。

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