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The use of ultrasound as an adjunct to peripheral venous cannulation by junior doctors in clinical practice

机译：在临床实践中使用超声波作为辅助静脉插管的辅助插管

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摘要

Purpose: There is little consensus on the role of training in bedside ultrasound skills for medical students or junior doctors early in their careers. Methods: We trained 20 Foundation Year 1 doctors in the use of ultrasound as an adjunct to peripheral venous cannulation and following an assessment of competence gave them access to an ultrasound machine to assist with difficult cannulations in their clinical practice. Self-reported confidence and competence were assessed using pre- and post-training questionnaires, with competence objectively assessed immediately post-training and at one and three months follow up. Clinical use of ultrasound was studied over three months. Results: Improvements in self-reported confidence and competence were observed post-training and retained at three months. 85% (17/20) of participants were objectively assessed as competent immediately post-training, with retention of competence demonstrated in 80% (16/20) and 75% (15/20) at one and three months, respectively. There were 33 separate uses of ultrasound during the three month study period with a 73% (24/33) success rate and no adverse incidents. Conclusions: We suggest that doctors in their first post-graduate year can be trained in the use of ultrasound as an adjunct to peripheral venous cannulation, retain the skill over time and use it safely in their clinical practice.
机译：目的：对职业生涯早期医学生或初级医生培训在床边超声技能中的作用几乎没有达成共识。方法：我们培训了20个基金会第1岁的医生在使用超声波作为外周静脉插管的辅助，并且在竞争力评估之后，他们可以进入超声机，以协助临床实践中的难以加入的加入。使用预先培训后和培训后的问卷评估自我报告的信心和能力，客观地在培训后和三个月后立即评估。三个月内研究了超声波的临床使用。结果：在培训后观察到自我报告的信心和能力的改进，并在三个月内保留。 65％（17/20）的参与者被客观地评估为立即培训的能力，保留持有人数分别在80％（16/20）和75％（15/20）中展示，分别在一个和三个月内。三个月的研究期间有33种独立用途，具有73％（24/33）成功率，没有不利事件。结论：我们建议在他们的第一次毕业生年度的医生可以接受过超声波作为外周静脉插管的辅助培训，保留技能随着时间的推移，并在临床实践中安全地使用它。

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  • 来源
    《Medical teacher》 |2018年第12期|共6页
  • 作者

    Breslin Ryan; Collins Karen; Cupitt Jason;

  • 作者单位

    Blackpool Teaching Hosp NHS Fdn Trust Dept Intens Care Blackpool England;

    Blackpool Teaching Hosp NHS Fdn Trust Dept Intens Care Blackpool England;

    Blackpool Teaching Hosp NHS Fdn Trust Dept Intens Care Blackpool England;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
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