Construction of a detachable artificial trachea model for three age groups for use in an endotracheal suctioning training environment simulator.
Construction of a detachable artificial trachea model for three age groups for use in an endotracheal suctioning training environment simulator.
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DOI：
10.1371/journal.pone.0249010
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Shimizu S
中科院分区：
文献类型：
--
作者：
Yoshimura T;Colley N;Komizunai S;Ninomiya S;Kanai S;Konno A;Yasuda K;Taguchi H;Hashimoto T;Shimizu S
气管吸痰是通过清除分泌物来维持气道通畅的重要手段。如今，吸痰操作人员不仅包括医务人员，还包括家庭护理人员。对操作人员来说，使用模拟系统是学习气管吸引技术最有效的方法。而不同年龄段的人的气管大小不同，仿真系统中的人工气管模型只有一个固定的模型。因此，本研究旨在根据不同年龄组构建多种可移动气管模型。我们招募了20名曾在本院接受过质子束治疗的患者，并获得了治疗计划的计算机断层扫描（CT）图像数据。为了构建儿童、青少年和成人三个年龄组的人工气管模型，我们分析了整个气管、气管隆突和主支气管末端的三维坐标。我们还分析了气管和主支气管的直径。最后，通过分析构建的模型与实际测量值的差异，对模型的精度进行了评价。气管模型儿童长8厘米，青少年长12厘米，成人长12厘米。气管和床的夹角约为20度，与年龄无关。模型平均精度小于0.4 cm。我们根据治疗计划CT图像构建了三个年龄段的可拆卸人工气管模型，并在气管内吸引训练环境模拟器（est - sim）中实施。我们构建的人工气管模型将能够在eet - sim中为不同年龄段的人提供模拟环境。
Tracheal suctioning is an important procedure to maintain airway patency by removing secretions. Today, suctioning operators include not only medical staff, but also family caregivers. The use of a simulation system has been noted to be the most effective way to learn the tracheal suctioning technique for operators. While the size of the trachea varies across different age groups, the artificial trachea model in the simulation system has only one fixed model. Thus, this study aimed to construct multiple removable trachea models according to different age groups. We enrolled 20 patients who had previously received proton beam therapy in our institution and acquired the treatment planning computed tomography (CT) image data. To construct the artificial trachea model for three age groups (children, adolescents and young adults, and adults), we analyzed the three-dimensional coordinates of the entire trachea, tracheal carina, and the end of the main bronchus. We also analyzed the diameter of the trachea and main bronchus. Finally, we evaluated the accuracy of the model by analyzing the difference between the constructed model and actual measurements. The trachea model was 8 cm long for children and 12 cm for adolescents and young adults, and for adults. The angle between the trachea and bed was about 20 degrees, regardless of age. The mean model accuracy was less than 0.4 cm. We constructed detachable artificial trachea models for three age groups for implementation in the endotracheal suctioning training environment simulator (ESTE-SIM) based on the treatment planning CT image. Our constructed artificial trachea models will be able to provide a simulation environment for various age groups in the ESTE-SIM.
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影响因子：
5
作者：
GRISCOM, NT;WOHL, MEB
通讯作者：
WOHL, MEB
影响因子：
8.8
作者：
Berra, L;De Marchi, L;Kolobow, T
通讯作者：
Kolobow, T
DOI：
10.3390/ma9060456
发表时间：
2016-06-08
期刊：
Materials (Basel, Switzerland)
影响因子：
--
作者：
Safshekan F;Tafazzoli-Shadpour M;Abdouss M;Shadmehr MB
通讯作者：
Shadmehr MB
影响因子：
4.3
作者：
Hamaguchi, Shingo;Nakajima, Yasuo
通讯作者：
Nakajima, Yasuo
DOI：
10.1164/ajrccm/137.3.707
发表时间：
1988-03-01
期刊：
AMERICAN REVIEW OF RESPIRATORY DISEASE
影响因子：
--
作者：
JEANNERETGROSJEAN, A;KING, M;AMYOT, R
通讯作者：
AMYOT, R