Bougie辅助气管插管培训在模拟心肺复苏情景中的学习效果评价  

Evaluation of the efficacy of the training of bougie-assisted endotracheal intubation in a simulated cardiopulmonary resuscitation scenario

作　　者：徐宵寒 刘薇[1] 李旭[1] 申乐[1] Xu Xiaohan;Liu Wei;Li Xu;Shen Le(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院麻醉科,北京100730

出　　处：《中国毕业后医学教育》2024年第9期703-707,共5页Chinese Journal of Graduate Medical Education

基　　金：北京协和医院中央高水平医院临床科研专项2022年专科提升计划(2022-PUMCH-B-007);北京协和医学院本科教育教学改革立项(2021zlgc0115)。

摘　　要：目的评价探条(bougie)辅助气管插管培训在模拟心肺复苏情景中的学习效果。方法选取北京协和医院麻醉科接受住院医师规范化培训的住院医师65名。通过初筛试验者在培训当日和培训后3个月在模拟心肺复苏情境下、可视喉镜暴露下以随机顺序使用标准bougie法、预套bougie法、导丝法和无辅助法各完成一次气管插管,以首次插管成功率和插管所需的时间评价插管表现。结果在培训3个月后,住院医师使用标准bougie法的首次插管成功率与预套bougie法差异无统计学意义(P>0.05),但显著高于导丝法和无辅助法(P<0.05),且插管时间显著短于导丝法和无辅助法(P<0.05)。与培训当日相比,培训后3个月时标准bougie法与预套bougie法首次成功率未见显著下降,插管时间未见显著延长。结论住院医师在简短多模式bougie使用培训3个月后仍有理想的气管插管表现,该培训有推广价值。Objective To evaluate the efficacy of the training of bougie-assisted endotracheal intubation in a simulated cardiopulmonary resuscitation scenario.Methods Sixty-five anesthesia residents enrolled in the standardized residency training program at Peking Union Medical College Hospital were included in this study.Residents who passed the screening test continued to attend two tests conducted on the day of training and 3 months after training respectively,in which they performed endotracheal intubation via video laryngoscopy in a simulated cardiopulmonary resuscitation scenario using the standard bougie,the preloaded bougie,the stylet,and the non-assistance approaches.The performance of endotracheal intubation was evaluated based on the firstattempt success and the time to intubation.Results Three months after the training,the first-attempt success of the standard bougie approach was similar to the preloaded bougie approach,but was significantly higher than the stylet and the non-assistance approaches(P<0.05);and the time to intubation of the standard bougie approach was also shorter than the stylet and the non-assistance approaches(P<0.05).The first-attempt success and the time to intubation of the two bougie approaches did not differ significantly 3 months after the training,when compared to the performance on the day of training.Conclusion Anesthesia residents demonstrated good intubation performance 3 months after the brief multi-model training of bougie use,indicating the promotion potential of this training.

关 键 词：探条 气管插管 心肺复苏 模拟教学 住院医师 

分 类 号：G40-034[文化科学—教育学原理] R4[文化科学—教育学]