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首页> 外文期刊>Journal of the Chinese Medical Association: JCMA >Instructor-based Real-time Multimedia Medical Simulation to Update Concepts of Difficult Airway Management for Experienced Airway Practitioners.
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Instructor-based Real-time Multimedia Medical Simulation to Update Concepts of Difficult Airway Management for Experienced Airway Practitioners.

机译：基于讲师的实时多媒体医学仿真，为经验丰富的气道从业者更新困难气道管理的概念。

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Background: We integrated lecture, real-time multimedia display and medical simulation into a new renewal airway management training protocol for experienced nurse anesthetists. Methods: Trainees of the Taiwan Association of Nurse Anesthetists from northern Taiwan and junior residents from our department were enrolled into the training program. A 4-hour renewal curriculum in the management of airway emergencies was developed, which consisted of a 2-hour general lecture (including 4 divided sections) and a 2-hour instructor-based real-time multimedia medical simulation of 4 specific techniques. After detailed explanation of each specific instrument at the beginning of each simulation, the instructors demonstrated accurate and successful management of 4 airway crises from clinical experience by using a standardized human patient simulator situated on the stage of the conference room. Meanwhile, real-time display of instructors' performance, responsive physical parameters and images from specific instruments were conducted by video camera and video processor, and projected on a 3-frame screen. Brief summary and feedback were performed after each simulation. Trainees completed a questionnaire 6 months after they participated in the training program. Results: Two hundred and forty-two nurse anesthetists and 13 young residents were trained with this protocol. The questionnaire revealed that the renewal training program was useful. Participants updated their knowledge of difficult airway management, gained more confidence, improved performance, and provided effective assistance in handling airway crises. Conclusion: Renewing practice guidelines and teaching airway management skills, especially for difficult airway crises and protection of personnel, continues to be an important issue. Instructor-based real-time multimedia simulation is a fast, useful and systematic renewal educational method for many participants with extensive experience of airway management to update their knowledge about difficult airway management, and acquire improved decision-making and communication capabilities, skills of specific airway management.
机译：背景：我们将讲座，实时多媒体显示和医学模拟集成到了针对经验丰富的麻醉师的新的续航道管理培训协议中。方法：将台湾北部的台湾护士麻醉师协会的受训人员和本部门的未成年居民纳入培训计划。开发了一个4小时的气道紧急情况管理更新课程，其中包括2小时的一般性讲座（包括4个单独的部分）和2小时的基于讲师的4种特定技术的实时多媒体医学模拟。在每次模拟开始时详细解释了每种特定的仪器之后，讲师通过使用位于会议室舞台上的标准化人类患者模拟器，从临床经验中证明了对4种气道危机的准确而成功的管理。同时，通过摄像机和视频处理器实时显示教师的表现，反应灵敏的物理参数和来自特定仪器的图像，并显示在3帧屏幕上。每次模拟后均进行简要总结和反馈。参加培训计划的6个月后，受训人员填写了调查表。结果：242名护士麻醉师和13名年轻居民接受了该方案的培训。调查表显示，续订培训计划很有用。与会者更新了他们对困难气道管理的知识，获得了更多的信心，提高了绩效，并为处理气道危机提供了有效的帮助。结论：尤其是针对困难的气道危机和人员保护，更新实践指南和气道管理技能教学仍然是一个重要问题。基于讲师的实时多媒体模拟是一种快速，实用和系统的更新教育方法，对于许多拥有丰富气道管理经验的参与者来说，他们可以更新其关于困难气道管理的知识，并获得改进的决策和沟通能力以及特定气道的技能管理。

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