Learning Manual Skills in Anesthesiology: Is There a Recommended Number of Cases for Anesthetic Procedures?
Learning Manual Skills in Anesthesiology: Is There a Recommended Number of Cases for Anesthetic Procedures?
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学习麻醉学手工技能：麻醉手术有推荐的病例数吗？
DOI：
10.1097/00000539-199803000-00037
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发表时间：
1998
影响因子：
5.7
通讯作者：
H. Gerber
中科院分区：
文献类型：
--
作者：
C. Konrad;G. Schupfer;M. Wietlisbach;H. Gerber
学习过程是一个多维函数，具有广泛的个体内和个体间的散布。为了确定麻醉中的学习过程，我们评估了11名第一年住院医生，根据他们在应用人工麻醉技能时的成功率或失败率，例如腰丛、硬膜外或臂丛麻醉和气管插管或动脉插管的表现。硬膜外麻醉是最困难的操作(P<；0.05)。硬膜外麻醉与气管插管(P<；0.05)、动脉插管(P<；0.05)、臂丛神经阻滞(P<；0.05)、腰麻与经口气管插管(P<；0.05)有显著差异。学习曲线是监测机构和个人成功的有效工具。为了研究麻醉中的学习过程，典型的麻醉程序由没有经验的住院医生在第一年进行。为所执行的每个过程生成学习曲线。硬膜外麻醉是最难进行的操作(P<；0.05)。(Anesth Analg 1998；86：635-9)
The learning process is a multidimensional function with a wide intra-and interindividual scattering. To determine the learning process in anesthesia, we evaluated 11 first-year residents according to their rate of success or failure when applying manual anesthesiological skills, such as performance of spinal, epidural, or brachial plexus anesthesia and tracheal intubation or insertion of an arterial line. Epidural anesthesia was the most difficult procedure (P < 0.05). Significant differences were found between epidural anesthesia and tracheal intubation (P < 0.05), insertion of an arterial line (P < 0.05), and brachial plexus block (P < 0.05), as well as between spinal anesthesia and orotracheal intubation (P < 0.05). Learning curves are a valid tool for monitoring institutional and individual success. Implications: To investigate the learning process in anesthesia, typical anesthetic procedures were performed by inexperienced residents during their first year. Learning curves were generated for each procedure performed. Epidural anesthesia was the most difficult procedure to perform (P < 0.05). (Anesth Analg 1998;86:635-9)