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新生儿超声心动图模拟器训练(NEST)的叙述性综述:模拟器在有效掌握新生儿超声心动图技能中的作用。

A narrative review of Neonatal Echocardiography Simulator Training (NEST): role of simulators in acquiring neonatal echocardiography skills effectively.

作者信息

Singh Yogen, Ramanathan Rangasamy, Ebrahimi Mahmood, Noori Shahab

机构信息

Department of Pediatrics, Division of Neonatology, University of California, UC Davis Children's Hospital, Sacramento, CA, USA.

Department of Pediatrics, Division of Neonatology, Cedars Sinai Guerin Children's, Cedars Sinai Medical Center, Los Angeles, CA, USA.

出版信息

Pediatr Res. 2025 Aug 12. doi: 10.1038/s41390-025-04321-5.

DOI:10.1038/s41390-025-04321-5
PMID:40796668
Abstract

Neonatologist performed echocardiography (NPE) is fast becoming as an essential tool to provide high-quality patient care in the neonatal intensive care units (NICU), especially to infants with hemodynamic instability. With limited training opportunities in the neonatal intensive care setting, learning echocardiography and implementation of published neonatal echocardiography training guidelines remain a challenge for the vast majority of neonatologists across the world. Hence, these guidelines have recommended the use of simulators for the initial echocardiography training. In the last two decades, simulators dedicated to developing skills in neonatal echocardiography have been developed and their effectiveness in imaging acquisition and interpretation has been validated. This manuscript explores the role of simulators in developing echocardiography skills, their pros and cons, available tools for the neonatologists and how they can utilize these tools in their training. IMPACT: Neonatal echocardiography simulators have been validated as an effective tool in improving echocardiography skills among neonatology care providers, for both with and without prior echocardiography skills. This manuscript explores the role of simulators in developing echocardiography skills, their pros and cons, and how they can be utilized in training targeted neonatal echocardiography skills.

摘要

新生儿科医生进行的超声心动图检查(NPE)正迅速成为新生儿重症监护病房(NICU)提供高质量患者护理的重要工具,尤其是对于有血流动力学不稳定的婴儿。在新生儿重症监护环境中培训机会有限,学习超声心动图以及实施已发表的新生儿超声心动图培训指南对全球绝大多数新生儿科医生来说仍然是一项挑战。因此,这些指南建议使用模拟器进行初始超声心动图培训。在过去二十年中,专门用于培养新生儿超声心动图技能的模拟器已经开发出来,并且它们在图像采集和解读方面的有效性已经得到验证。本文探讨了模拟器在培养超声心动图技能中的作用、它们的优缺点、为新生儿科医生提供的可用工具以及他们如何在培训中利用这些工具。影响:新生儿超声心动图模拟器已被证实是提高新生儿科护理人员超声心动图技能的有效工具,无论其有无超声心动图技能。本文探讨了模拟器在培养超声心动图技能中的作用、它们的优缺点,以及如何将它们用于有针对性的新生儿超声心动图技能培训。

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Pediatr Res. 2025 Aug 12. doi: 10.1038/s41390-025-04321-5.
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本文引用的文献

1
Echocardiography in the neonatal unit: current status and future prospects.新生儿病房中的超声心动图:现状与未来展望。
Expert Rev Med Devices. 2024 Apr;21(4):307-316. doi: 10.1080/17434440.2024.2334449. Epub 2024 Mar 25.
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Use of Point-of-Care Ultrasonography in the NICU for Diagnostic and Procedural Purposes.即时超声检查在新生儿重症监护病房用于诊断和操作目的
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Development and validation of an automated assessment tool of echocardiography skills acquired on a neonatal simulator.开发并验证一种基于新生儿模拟器的超声心动图技能习得的自动评估工具。
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