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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.6
- 발행연도
- 2020.12
- 수록면
- 362 - 369 (8page)
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초록· 키워드
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Purpose: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a salvage technique changing the paradigm in the management of noncompressible torso hemorrhage. However, training for the REBOA procedure is rarely performed. The endovascular training for REBOA (ET-REBOA) course was conducted to develop the endovascular skills of participants.
Methods: Sixteen residents and 12 specialists participated in this educational course. All participants were provided with precourse learning materials. The ET-REBOA course consisted of 2 sections; an ultrasound-guided sheath insertion on the puncture model, and a balloon manipulation on the vascular circuit model. A 13-item procedure checklist and the time required to perform the procedure were examined. Pre/post self-reported confidence score and course satisfaction questionnaire were obtained.
Results: Twenty-eight participants performed the 56 REBOA procedures. On the first attempt, the median total time for REBOA from ultrasound-guided vascular access to balloon inflation was 1,139 ± 250 seconds in the resident group and 828 ± 280 seconds in the specialist group. The median shortened time for completion was 273 seconds and 290 seconds respectively. A significant decrease in procedure task time was observed between first and second attempts in the resident group (P = 0.016), specialist group (P = 0.004), and in total among all participants (P < 0.001).
Conclusion: The ET-REBOA course significantly decreased the time taken to perform the REBOA procedure with high satisfaction of the participants. The course could be an effective curriculum for the development of endovascular skills for performing REBOA.
Methods: Sixteen residents and 12 specialists participated in this educational course. All participants were provided with precourse learning materials. The ET-REBOA course consisted of 2 sections; an ultrasound-guided sheath insertion on the puncture model, and a balloon manipulation on the vascular circuit model. A 13-item procedure checklist and the time required to perform the procedure were examined. Pre/post self-reported confidence score and course satisfaction questionnaire were obtained.
Results: Twenty-eight participants performed the 56 REBOA procedures. On the first attempt, the median total time for REBOA from ultrasound-guided vascular access to balloon inflation was 1,139 ± 250 seconds in the resident group and 828 ± 280 seconds in the specialist group. The median shortened time for completion was 273 seconds and 290 seconds respectively. A significant decrease in procedure task time was observed between first and second attempts in the resident group (P = 0.016), specialist group (P = 0.004), and in total among all participants (P < 0.001).
Conclusion: The ET-REBOA course significantly decreased the time taken to perform the REBOA procedure with high satisfaction of the participants. The course could be an effective curriculum for the development of endovascular skills for performing REBOA.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (15)
참고문헌 신청
심주현 / 2015 / Risk factors for mortality of severe trauma based on 3 years’ data at a single Korean institution / Annals of Surgical Treatment and Research 89(4):215~219
Andres J / 2016 / Resuscitative endovascular balloon occlusion of the aorta (REBOA): what have we learned? / Injury 47:2603~2605
Belenkiy SM / 2015 / Resuscitative endovascular balloon occlusion of the aorta for hemorrhage control : past, present, and future / J Trauma Acute Care Surg 79(4 Suppl 2):S236~S242
Seamon MJ / 2015 / An evidence-based approach to patient selection for emergency department thoracotomy : a practice management guideline from the Eastern Association for the Surgery of Trauma / J Trauma Acute Care Surg 79:159~173
Kim DH / 2018 / The utilization of resuscitative endovascular balloon occlusion of the aorta : preparation, technique, and the implementation of a novel approach to stabilizing hemorrhage / J Thorac Dis 10:5550~5559
Andres J / 2016 / Resuscitative endovascular balloon occlusion of the aorta (REBOA): what have we learned? / Injury 47:2603~2605
Belenkiy SM / 2015 / Resuscitative endovascular balloon occlusion of the aorta for hemorrhage control : past, present, and future / J Trauma Acute Care Surg 79(4 Suppl 2):S236~S242
Seamon MJ / 2015 / An evidence-based approach to patient selection for emergency department thoracotomy : a practice management guideline from the Eastern Association for the Surgery of Trauma / J Trauma Acute Care Surg 79:159~173
Kim DH / 2018 / The utilization of resuscitative endovascular balloon occlusion of the aorta : preparation, technique, and the implementation of a novel approach to stabilizing hemorrhage / J Thorac Dis 10:5550~5559
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