Specimen acquisition training with a new biosimulator in endobronchial ultrasound-guided transbronchial needle aspiration.
Specimen acquisition training with a new biosimulator in endobronchial ultrasound-guided transbronchial needle aspiration.
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DOI：
10.1097/md.0000000000006513
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发表时间：
2017-03
期刊：
影响因子：
1.6
通讯作者：
Yoshino I
中科院分区：
文献类型：
--
作者：
Nakajima T;Fujiwara T;Saegusa F;Inage T;Sakairi Y;Wada H;Suzuki H;Iwata T;Yoshida S;Nakatani Y;Yoshino I
补充数字内容可在文本中获得支气管内超声引导经支气管针吸活检（EBUS-TBNA）的培训主要集中在手术本身;然而，获得足够样本的技术对于实现病理诊断和分子检测也很重要。本研究的目的是评估生物模拟器在EBUS-TBNA过程中用于训练受试者获得足够样本的可行性和有效性。共有19名支气管镜医师自愿参加本研究。使用生物模拟器（ArtiCHEST，HARADA Corporation，日本东京）进行训练。经过10分钟的情况介绍，第一关由两名学员进行。然后，学员们接受了30分钟的讲座，重点是使用EBUS-TBNA采集样本。接下来，受训人员在培训员的监督下进行了第二遍培训。每个参与者获得一个细胞学涂片，由一个独立的细胞学技术人员进行编码和质量评估。受训者平均有5.9年的支气管镜检查经验。关于数量评估，9名（47.4%）受试者在第二次采样时的淋巴细胞数量大于第一次，而2名受试者在第一次采样时更好，其他受试者在两次采样时的数量大致相同。关于质量评估，9例（47.4%）受试者在第二次通过时获得了质量更好的样本，而其余受试者的第一次和第二次通过的质量被认为大致相同。生物模拟器可用于培训医生获取标本，并使用EBUS-TBNA评估他们的采样技能。
Supplemental Digital Content is available in the text Training for endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has focused on the procedure itself; however, the techniques for obtaining adequate sample are also important for achieving a pathological diagnosis as well as for molecular testing. The aim of this study was to evaluate the feasibility and efficacy of a biosimulator for training subjects in adequate sample acquisition during EBUS-TBNA. A total of 19 bronchoscopists voluntarily participated in this study. A biosimulator (ArtiCHEST, HARADA Corporation, Tokyo, Japan) was used for the training. After a 10-minute briefing, the first pass was performed by pairs of trainees. The trainees then received a 30-minute lecture that focused on the acquisition of samples using EBUS-TBNA. The trainees next performed their second pass under the supervision of the trainers. Each participant obtained a cytological smear that was coded and evaluated for quantity as well as quality by an independent cytotechnologist. The trainees had an average of 5.9 years of bronchoscopy experience. With regard to the quantity evaluation, 9 (47.4%) subjects sampled a greater number of lymphocytes on the second pass than on the first, whereas 2 were better on the first pass, and the others sampled roughly the same amount both times. With regard to the quality assessment, 9 (47.4%) subjects obtained better quality samples on the second pass, whereas the quality of the first and second pass was deemed to be roughly the same for the remaining subjects. A biosimulator can be used to train doctors in specimen acquisition and evaluate their skills with sampling using EBUS-TBNA.