评估神经外科头架固定的口头(传统)训练和模型训练

IF 0.8 Q4 CLINICAL NEUROLOGY
Mohit Agrawal, Varidh Katiyar, R. Sharma, Vikas Janu, Pankaj Totala, Ashutosh Jha, S. Bhaskar, Surajit Ghatak, D. K. Jha
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引用次数: 0

摘要

颅骨固定是颅骨手术必不可少的第一步。与头部固定架相关的并发症报告不足,在培训中也较少受到重视。作者报告了他们在头颅手术中使用 "头部固定架 "和 "木头 "模型进行口头(传统)培训和训练的经验。头部固定架"(梅菲尔德夹钳)和 "木质人头 "模型分别用金属(铁)和木材制成。在头部模型上标记了主要的头颅测量标志和硬脑膜静脉窦。在经过口头(传统)培训(8 人)和模型培训(7 人)后,对 15 名见习期大于 18 个月(A 组,4 人)、小于 18 个月(B 组,5 人)和未接受过神经外科培训(C 组,6 人)的住院医师进行了头颅框架在人体尸体上应用的评估。评估了各种参数,如插针所需的时间、插针部位的选择和象限,以确定插针位置和头部位置是否适当。对两种方法进行了比较,以评估更好的训练方法。结果发现,头部框架固定的模型培训在各方面都更胜一筹,其中头部定位和插针时间、头部象限的选择、插针部位以及教师干预的必要性都很重要。使用 "头部固定架 "和 "头部 "模型进行培训比传统培训效果更好。它既简单又安全,还能预防与钢针有关的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of verbal (conventional) training versus models training for head frame fixation in neurosurgery
Cranial immobilization is an essential first step in cranial surgeries. Complications related to head fixation frames are under-reported and given less importance during training. Authors report their experience of using verbal (Conventional) training and training by models of “head fixation frame” and “wooden head” for head frame application for cranial surgeries. Models of the “Head Fixation Frame” (Mayfield clamp) and “wooden human head” were made using metal (iron) and wood, respectively. Major craniometric landmarks and dural venous sinuses were marked on the head model. A total of 15 trainee residents of >18 months (Group A, n = 4), < 18 months (Group B, n = 5), and without neurosurgical training (Group C, n = 6) were assessed for head frame application on human cadaver heads after verbal (conventional) training (n = 8) and training on models (n = 7). Various parameters, such as time taken for pin application, selection of pin site, and quadrants, were evaluated for adequacy of pin placements and position of head. Both methods were compared for assessment of better training method. Model training for head frame fixation was found better with regard to all aspects out of which time for positioning the head and for pin application, selection of quadrants of the head, site for pin insertions, and need of intervention by faculty were significant. Training on models of “head fixation frame” and “head” is better than conventional training. It is simple and safe and will prevent pin-related complications.
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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
129
审稿时长
22 weeks
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