Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents.
Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents.
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DOI：
10.1186/s12909-018-1410-0
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发表时间：
2018-12-04
影响因子：
3.6
通讯作者：
Shimaoka M
中科院分区：
文献类型：
--
作者：
Sakakura Y;Kamei M;Sakamoto R;Morii H;Itoh-Masui A;Kawamoto E;Imai H;Miyabe M;Shimaoka M
气管插管(TI)是麻醉师和重症监护医生在手术室和重症监护病房的呼吸道管理中使用的一项关键医学技能。客观评估经皮冠状动脉介入治疗手术的灵巧性将大大提高医学培训的质量。这项研究的目的是调查在TI手术中通过身体运动的3D运动分析所获得的任何生物力学参数是否能够客观地区分专业麻醉师和新手住院医师。13名麻醉专家和13名住院医生尝试使用Macintosh喉镜对呼吸道人体模型进行TI手术。运动捕捉技术被用来数字化记录经皮冠状动脉介入治疗过程中的运动。对专家和新手测量身体运动的生物力学参数的技能进行了比较。两组显示相似的结果(成功率和完成经皮冠状动脉介入治疗所需的平均时间)，以及在所有被检查的21个身体部位的平均绝对速度值相似。然而，专家在头部和左手的平均绝对加速度值明显低于居民。此外，平均绝对挺举测量显示，专家们在头部和左手的动作可能更流畅。受试者工作特性(ROC)曲线分析表明，平均值-绝对加速度和-JUCK测量为区分专家和新手提供了极好的手段。生物力学参数测量可作为客观评价经皮冠状动脉介入治疗手术灵活性的一种手段。与新手住院医师相比，专业麻醉师拥有更好的能力来控制他们在TI手术中的身体运动，在选定的身体部位显示更平滑的运动。
Tracheal intubation (TI) is a key medical skill used by anesthesiologists and critical care physicians in airway management in operating rooms and critical care units. An objective assessment of dexterity in TI procedures would greatly enhance the quality of medical training. This study aims to investigate whether any biomechanical parameters obtained by 3D-motion analysis of body movements during TI procedures can objectively distinguish expert anesthesiologists from novice residents. Thirteen expert anesthesiologists and thirteen residents attempted TI procedures on an airway mannequin using a Macintosh laryngoscope. Motion capturing technology was utilized to digitally record movements during TI procedures. The skill with which experts and novices measured biomechanical parameters of body motions were comparatively examined. The two groups showed similar outcomes (success rates and mean time needed to complete the TI procedures) as well as similar mean absolute velocity values in all 21 body parts examined. However, the experts exhibited significantly lower mean absolute acceleration values at the head and the left hand than the residents. In addition, the mean-absolute-jerk measurement revealed that the experts commanded potentially smoother motions at the head and the left hand. The Receiver Operating Characteristic (ROC) curves analysis demonstrated that mean-absolute-acceleration and -jerk measurements provide excellent measures for discriminating between experts and novices. Biomechanical parameter measurements could be used as a means to objectively assess dexterity in TI procedures. Compared with novice residents, expert anesthesiologists possess a better ability to control their body movements during TI procedures, displaying smoother motions at the selected body parts.
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影响因子：
6.7
作者：
Hagberg, CA;Greger, J;Saad-Eddin, HE
通讯作者：
Saad-Eddin, HE
影响因子：
2.9
作者：
Ghasemloonia, Ahmad;Maddahi, Yaser;Sutherland, Garnette R.
通讯作者：
Sutherland, Garnette R.
影响因子：
7.4
作者：
Ericsson, KA
通讯作者：
Ericsson, KA
DOI：
10.1007/s11548-016-1391-6
发表时间：
2016-06-01
影响因子：
3
作者：
Mazomenos, Evangelos B.;Chang, Ping-Lin;Stoyanov, Danail
通讯作者：
Stoyanov, Danail
DOI：
10.1186/s13022-016-0025-6
发表时间：
2016-01-01
期刊：
Annals of surgical innovation and research
影响因子：
--
作者：
Varas, Julian;Achurra, Pablo;Montana, Rodrigo
通讯作者：
Montana, Rodrigo