视频录像气管插管:肺部和重症监护研究员气道管理培训的教育工具。

IF 1.7 Q3 CRITICAL CARE MEDICINE
ATS scholar Pub Date : 2024-05-31 eCollection Date: 2024-09-30 DOI:10.34197/ats-scholar.2023-0125IN
Aiyang A Jiang, Gabriel Wardi, Daniel A Sweeney
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引用次数: 0

摘要

背景:专业气道管理是肺科和重症监护研究员的一项基本技能。由于情况紧急,而且指导医疗人员缺乏对气道的全面观察,因此向实施紧急插管的学员提供高质量的实时反馈往往受到限制:我们试图通过录制所有紧急插管过程,并在定期召开的气道管理会议上系统回顾部分视频,来提高肺部和重症监护研究员培训项目中气道管理教育的质量:方法:我们对气道培训课程进行了多项修改,包括记录所有学员实施的紧急气管插管,并定期召开会议,系统回顾部分视频录像。学员在课程重新设计前后完成的调查问卷用于确定个别课程修改的效果。统计分析采用了配对学生 t 检验、χ2 检验和 Kruskal-Wallis 检验。在所有分析中,P 值低于 0.05 即为显著:结果:完成重新设计的课程后,学员(100% 响应率)对教育干预措施的技术知识有所提高(P P P = 0.001):结论:记录受训者的插管操作并随后使用标准化评分标准对这些视频进行审查,是对我们的研究员气道培训课程进行的一项非常有价值的修改。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Video-recorded Endotracheal Intubations: An Educational Tool in Airway Management Training for Pulmonary and Critical Care Fellows.

Background: Expert airway management is an essential skill for pulmonary and critical care fellows. Providing high-quality real-time feedback to trainees performing emergent intubations is often limited because of the acuity of the situation and the lack of full airway visualization by the supervising provider.

Objective: We sought to improve the quality of airway management education in a pulmonary and critical care fellowship training program by recording all emergent intubations and systematically reviewing select videos at a regularly scheduled airway management conference.

Methods: We introduced several modifications to our airway training curriculum, including the recording of all fellow-performed emergent tracheal intubations along with a regularly scheduled conference in which selected videos recordings were systematically reviewed. Surveys completed by trainees before and after the redesign of the curriculum were used to determine the efficacy of the individual curriculum modifications. Paired Student's t tests, χ2 tests, and Kruskal-Wallis tests were used for statistical analysis. A P value lower than 0.05 was considered significant in all analyses.

Results: After completion of the redesigned curriculum, trainees (100% response rate) demonstrated improved technical knowledge (P < 0.04) and procedural confidence (P < 0.04) with regard to airway management. Of the modifications incorporated into the curriculum redesign, fellows ranked the video-recorded intubation review conference as the most beneficial (P = 0.001) of the educational interventions.

Conclusion: Recording of trainee-performed intubations and subsequent review of these videos using a standardized rubric was a highly valued modification to our fellowship airway training curriculum.

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CiteScore
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审稿时长
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