A proposal of a simple epidural simulator for training novice anesthesiologists.
Identifieur interne : 000018 ( PubMed/Corpus ); précédent : 000017; suivant : 000019A proposal of a simple epidural simulator for training novice anesthesiologists.
Auteurs : Sung-Moon Jeong ; Jae Moon Choi ; Ji Hyun Kim ; Hwanhee Yoo ; Sukyung Lee ; Hyungseok Seo ; Sooyoung Kim ; Sung-Hoon KimSource :
- Journal of anesthesia [ 1438-8359 ] ; 2016.
Abstract
Confirming the epidural space during epidural anesthesia relies mainly on feel and experience, which are difficult techniques for a trainee to learn. We designed an epidural simulator for trainees to experience loss of resistance (LOR) and various degrees of pressure resistance.
DOI: 10.1007/s00540-016-2182-5
PubMed: 27193185
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A proposal of a simple epidural simulator for training novice anesthesiologists.</title><author><name sortKey="Jeong, Sung Moon" sort="Jeong, Sung Moon" uniqKey="Jeong S" first="Sung-Moon" last="Jeong">Sung-Moon Jeong</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Choi, Jae Moon" sort="Choi, Jae Moon" uniqKey="Choi J" first="Jae Moon" last="Choi">Jae Moon Choi</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea. superoxide@naver.com.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Ji Hyun" sort="Kim, Ji Hyun" uniqKey="Kim J" first="Ji Hyun" last="Kim">Ji Hyun Kim</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Yoo, Hwanhee" sort="Yoo, Hwanhee" uniqKey="Yoo H" first="Hwanhee" last="Yoo">Hwanhee Yoo</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Sukyung" sort="Lee, Sukyung" uniqKey="Lee S" first="Sukyung" last="Lee">Sukyung Lee</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Seo, Hyungseok" sort="Seo, Hyungseok" uniqKey="Seo H" first="Hyungseok" last="Seo">Hyungseok Seo</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Dankook University Hospital, Cheonan, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Sooyoung" sort="Kim, Sooyoung" uniqKey="Kim S" first="Sooyoung" last="Kim">Sooyoung Kim</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Sung Hoon" sort="Kim, Sung Hoon" uniqKey="Kim S" first="Sung-Hoon" last="Kim">Sung-Hoon Kim</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="doi">10.1007/s00540-016-2182-5</idno><idno type="RBID">pubmed:27193185</idno><idno type="pmid">27193185</idno><idno type="wicri:Area/PubMed/Corpus">000018</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A proposal of a simple epidural simulator for training novice anesthesiologists.</title><author><name sortKey="Jeong, Sung Moon" sort="Jeong, Sung Moon" uniqKey="Jeong S" first="Sung-Moon" last="Jeong">Sung-Moon Jeong</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Choi, Jae Moon" sort="Choi, Jae Moon" uniqKey="Choi J" first="Jae Moon" last="Choi">Jae Moon Choi</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea. superoxide@naver.com.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Ji Hyun" sort="Kim, Ji Hyun" uniqKey="Kim J" first="Ji Hyun" last="Kim">Ji Hyun Kim</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Yoo, Hwanhee" sort="Yoo, Hwanhee" uniqKey="Yoo H" first="Hwanhee" last="Yoo">Hwanhee Yoo</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Sukyung" sort="Lee, Sukyung" uniqKey="Lee S" first="Sukyung" last="Lee">Sukyung Lee</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Seo, Hyungseok" sort="Seo, Hyungseok" uniqKey="Seo H" first="Hyungseok" last="Seo">Hyungseok Seo</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Dankook University Hospital, Cheonan, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Sooyoung" sort="Kim, Sooyoung" uniqKey="Kim S" first="Sooyoung" last="Kim">Sooyoung Kim</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Sung Hoon" sort="Kim, Sung Hoon" uniqKey="Kim S" first="Sung-Hoon" last="Kim">Sung-Hoon Kim</name><affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of anesthesia</title><idno type="eISSN">1438-8359</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Confirming the epidural space during epidural anesthesia relies mainly on feel and experience, which are difficult techniques for a trainee to learn. We designed an epidural simulator for trainees to experience loss of resistance (LOR) and various degrees of pressure resistance.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">27193185</PMID><DateCreated><Year>2016</Year><Month>5</Month><Day>19</Day></DateCreated><DateRevised><Year>2016</Year><Month>5</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1438-8359</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2016</Year><Month>May</Month><Day>18</Day></PubDate></JournalIssue><Title>Journal of anesthesia</Title><ISOAbbreviation>J Anesth</ISOAbbreviation></Journal><ArticleTitle>A proposal of a simple epidural simulator for training novice anesthesiologists.</ArticleTitle><Pagination><MedlinePgn></MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Confirming the epidural space during epidural anesthesia relies mainly on feel and experience, which are difficult techniques for a trainee to learn. We designed an epidural simulator for trainees to experience loss of resistance (LOR) and various degrees of pressure resistance.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The simulator consists of a Perifix(®) LOR syringe and 1-, 5-, 10- and 50-mL syringes assembled by three-way stopcocks. A total of 89 anesthesiologists evaluated the simulator, given the choice of either the intermittent technique with air or continuous technique with saline. Sudden LOR and applicability of the simulator for training purposes were assessed using the numerical rating score (NRS). Pressure resistance at each lumbar structure was evaluated by the anesthesiologists using the intermittent technique with air.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Seventy-four anesthesiologists used the intermittent technique with air and 15 used the continuous technique with saline. The NRSs for sudden LOR and the applicability for training purposes were 8 and 9 (median), respectively. The pressure resistance to a 50-mL syringe was regarded as the epidural space (odds ratio 602.3 for 5-mL syringe and 144.4 for 10-mL syringe) by 89 % of anesthesiologists using air for LOR. Resistance to the 10-mL syringe was most frequently considered as muscle, subcutaneous fat, or the interspinous ligament, while resistance to the 1-mL syringe was considered as the ligamentum flavum (odds ratio 2.3 for 5-mL syringe and 18.6 for 10-mL syringe).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our epidural simulator is a simple, low-cost device that can be easily constructed. It was shown to provide valid haptic feedback as a promising tool for training novice anesthesiologists.</AbstractText></Abstract><AuthorList><Author><LastName>Jeong</LastName><ForeName>Sung-Moon</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author><LastName>Choi</LastName><ForeName>Jae Moon</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea. superoxide@naver.com.</Affiliation></AffiliationInfo></Author><Author><LastName>Kim</LastName><ForeName>Ji Hyun</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author><LastName>Yoo</LastName><ForeName>Hwanhee</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author><LastName>Lee</LastName><ForeName>Sukyung</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author><LastName>Seo</LastName><ForeName>Hyungseok</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, Dankook University Hospital, Cheonan, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author><LastName>Kim</LastName><ForeName>Sooyoung</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author><LastName>Kim</LastName><ForeName>Sung-Hoon</ForeName><Initials>SH</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="">JOURNAL ARTICLE</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>5</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><MedlineTA>J Anesth</MedlineTA><NlmUniqueID>8905667</NlmUniqueID><ISSNLinking>0913-8668</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Epidural anesthesia</Keyword><Keyword MajorTopicYN="N">Loss of resistance</Keyword><Keyword MajorTopicYN="N">Simulator</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>3</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>4</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2016</Year><Month>5</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>5</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>5</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>5</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1007/s00540-016-2182-5</ArticleId><ArticleId IdType="pii">10.1007/s00540-016-2182-5</ArticleId><ArticleId IdType="pubmed">27193185</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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