SimMan模拟系统在体外膜肺氧合模拟训练中的应用  

Application of SimMan system in simulation courses of extracorporeal membrane oxygenation

作　　者：胡强[1] 杨九光[1] 高国栋[1] 段欣[1] 黑飞龙[1] 龙村[1] 赵举[1] Hu Qiang;Yang Jiuguang;Gao Guodong;Duan Xin;Hei Feilong;Long Cun;Zhao Ju(Department of Cardiopulmonary Bypass,Fuwai Hospital,National Center for Cardiovascular Disease,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100037,China)

机构地区：[1]中国医学科学院北京协和医学院国家心血管病中心阜外医院体外循环中心,北京100037

出　　处：《中国体外循环杂志》2018年第3期139-141,183,共4页Chinese Journal of Extracorporeal Circulation

基　　金：北京协和医学院研究生教育教学改革项目(10023201600205)

摘　　要：目的通过使用SimMan模拟系统进行体外膜肺氧合(ECMO)模拟培训,旨在提高ECMO团队及成员管理ECMO患者和应对突发事件的综合能力。方法 230名学员参与本模拟训练,3~4名学员一组,使用SimMan模拟系统设计6种不同的ECMO场景。模拟导师带领每组学员分析讨论不同场景所产生的各种原因及应对措施并提出预防方案,对学员的专业知识、临床评估、技术能力及团队协作等各方面的表现进行综合评分。结果学员们在模拟前表现为认识评估不确切,团队协作交流不充分,综合评分低,经过理论培训和模拟导师指导下的场景模拟教学后各方面均表现出明显改善,评分具有非常显著地提升(P<0.01)。结论 ECMO模拟培训可以有效提升ECMO团队临床思维能力以及应对突发事件的综合处置能力。Objectve To improve general management level of perfusionists and their ability of dealing with serious adverse events during extracorporeal membrane oxygenation（ ECMO） treatment as well as collaboration of team members by using high fidelity simulation courses. Methods 230 trainees were involved in the simulation training with 3-4 trainees in each group. Six different scenarios of ECMO were designed using the Sim Man system. The instructors led each group of students to analyze and discuss the causes and solutions of the unexpected events and put forward preventive measures. Professional knowledge,clinical assessment,technique capability and team collaboration of each trainee were evaluated and scored. Results Before the simulation training,the trainees showed low scores with inaccurate evaluation of adverse events and insufficient teamwork. After training by the instructors using Sim Man system,the trainees got significantly improved scores in the 6 different simulated scenarios（ P 〈0.01）. Conclusion Simulation training of ECMO scenarios can benefit the trainees in general management level and ability to control adverse events in ECMO treatment.

关 键 词：体外膜肺氧合 SimMan模拟系统 模拟培训 不良事件 

分 类 号：R-4[医药卫生]