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为住院医师实施超声引导下置管培训。

Implementation of ultrasound-guided cannulation training for foundation doctors.

机构信息

Foundation Year One Doctor (FY1), St Georges NHS Foundation Trust, London SW17 0QT, UK.

Internal Medicine Year 3 Trainee (IMT3), St Georges NHS Foundation Trust, London SW17 0QT, UK.

出版信息

Clin Med (Lond). 2024 Nov;24(6):100256. doi: 10.1016/j.clinme.2024.100256. Epub 2024 Oct 22.

Abstract

Peripheral intravenous cannulation (PIVC) is an essential skill for newly qualified foundation doctors. It has high failure rates, resulting in care delays, pain and infection. We explored the perceived impact of ultrasound-guided PIVC (US-PIVC) training on confidence when performing difficult-access PIVC. We surveyed 88 foundation doctors to evaluate their perceptions of US-PIVC. Each cohort of participants was given two sessions over a 2-month period. Confidence was assessed using electronic questionnaires through 5-point Likert scales and free text responses. Confidence when performing PIVC with difficult access, regardless of US, increased significantly following the course (p < 0.01). This was also true regarding confidence when performing US-PIVC (p < 0.01.). Key themes identified included technical skills, confidence and clinical utility.

摘要

外周静脉置管术(PIVC)是新入职的住院医师必须掌握的一项基本技能。该操作失败率较高,会导致护理延迟、疼痛和感染。我们探讨了超声引导下 PIVC(US-PIVC)培训对行困难置管 PIVC 时信心的影响。我们调查了 88 名住院医师,以评估他们对 US-PIVC 的看法。每批参与者在两个月的时间内接受两次课程。通过 5 分制李克特量表和自由文本回复评估信心。无论是否使用 US,在接受课程后,进行困难置管 PIVC 的信心均显著增加(p < 0.01)。进行 US-PIVC 的信心也是如此(p < 0.01)。确定的关键主题包括技术技能、信心和临床实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62be/11651033/0005478b87df/gr1.jpg

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