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首页> 外文期刊>European journal of anaesthesiology >The effect of virtual reality bronchoscopy simulator training on performance of bronchoscopic-guided intubation in patients
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The effect of virtual reality bronchoscopy simulator training on performance of bronchoscopic-guided intubation in patients

机译：虚拟现实支气管镜模拟器训练培养对患者支气管镜导管性能的影响

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摘要

Supplemental Digital Content is available in the text BACKGROUND The use of a flexible optical bronchoscopic (FOB) for intubation is an essential airway management skill. OBJECTIVE(S) Our primary objective was to compare the effects of simulator training (ORSIM high-fidelity simulator) with no simulation training on the performance of FOB intubation in anaesthetised patients. DESIGN Randomised controlled trial. SETTING Single-centre tertiary hospital; trial conducted between April 2015 to May 2016. PARTICIPANTS Medical students, anaesthesia assistants and anaesthesia residents with experience of less than five FOB intubations from whom informed consent was obtained. INTERVENTION Students, anaesthesia assistants and anaesthesia residents viewed a didactic presentation before performing an initial FOB intubation in an anaesthetised patient. Intubations were recorded and evaluated using the Global Rating Scale (GRS) and checklist scores. Subsequently, participants were randomised to control group (Group CON) and had no simulation training, or to a simulation group (Group SIM) and underwent 60?min of simulation practice. Within a week, participants performed a second FOB intubation and were similarly evaluated. MAIN OUTCOME MEASURES Pretraining and posttraining intubation time, GRS and checklist scores. RESULTS Baseline characteristics were similar between groups. In Group SIM, there was significant improvement between pre and posttraining GRS [22.9?±?8.1 vs. 28.2?±?7.3, mean difference (95% CI) 5.3 (0.3 to 10.3), P ?=?0.04], and intubation time [177.6?±?77.6 vs. 119.3?±?52.2?s, mean difference (95% CI) ?58.4 (?100.3 to ?16.5)?s, P ?=?0.01]. There was no difference in Group CON, between pre and posttraining intubation time, GRS or checklist. CONCLUSION We conclude, posttraining performance of FOB intubation, as measured by intubation time and GRS, improved in Group SIM, while it was unchanged in the Group CON. The ORSIM simulator may be a useful adjunct in acquiring FOB intubation skills. CLINICAL TRIAL NUMBER AND REGISTRY ClinicalTrials.gov ID: NCT02699242.
机译：文本背景中提供了补充数字内容，使用柔性光支气管镜（FOB）用于插管是一种必要的气道管理技能。目的是我们的主要目标是比较模拟器培训（ORSIM高保真模拟器）的影响，没有关于麻醉患者中FOB插管性能的模拟培训。设计随机对照试验。设定单中心三级医院; 2015年4月至2016年5月进行的试验。参与者医学生，麻醉助理和麻醉居民，具有不到五个FOB插管的经验，从而获得知情同意。干预学生，麻醉助剂和麻醉居民在进行麻醉患者进行初始FOB插管之前观看了一种教育介绍。使用全局评级规模（GRS）和清单分数来记录和评估插管。随后，参与者被随机分配给对照组（组CON），并且没有模拟培训，或者对模拟组（组SIM）和仿真实践的60次进行仿真培训。在一周内，参与者执行了第二个FOB插管，并类似地评估。主要结果测量预介绍和后期插管时间，GRS和清单分数。结果基线之间的基线特征在组之间相似。在群体SIM中，PRE和PERTRINARINE GR之间存在显着改善[22.9？±8.1与28.2？±7.3，平均差异（95％CI）5.3（0.3至10.3），p？= 0.04]和插管时间[177.6吗？±77.6与119.3？±52.2？s，平均差异（95％ci）？58.4（？100.3至Δ16.5）？s，p？= 0.01]。 Group Con，Pre和PreaTraining Insubation Time，GRS或清单之间没有区别。结论我们得出结论，通过插管时间和GRS测量的FOB插管性能，在群体中改善，在群体中的群体中没有变化。 orsim模拟器可以是获取FOB插管技能的有用附件。临床试验号码和注册表ClinicalTrials.gov ID：NCT02699242。

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    David T. Wong; Arpan Mehta; Kawal P. Singh; Siaw M. Leong; Alister Ooi; Ahtsham Niazi; Eric You-Ten; Allan Okrainec; Rajesh Patel; Mandeep Singh; Jean Wong;

  • 作者单位

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

    From the Department of Anaesthesia Toronto Western Hospital Toronto Ontario Canada (DTW KPS;

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  • 正文语种 eng
  • 中图分类 麻醉学;
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