Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents

• 資料種別: 博士論文
• タイトル: Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents
• 著者・編者: Sakakura, Yousuke
• 著者標目: Sakakura, Yousuke
• 出版事項: 三重大学
• 出版年月日等: 2020-03-25
• 出版年（W3CDTF）: 2020-03-25
• 授与機関名: 三重大学
• 授与年月日: 2020-03-25
• 授与年月日（W3CDTF）: 2020-03-25
• 報告番号: 甲医学第2001号
• 学位: 博士(医学)
• 博論授与番号: 甲医学第2001号
• 本文の言語コード: eng
• 著者別名: サカクラ, ヨウスケ; 坂倉, 庸介
• 件名標目: Intubation; Assessment; Technology; Motor skills; Task performance and analysis; Clinical skills
• 対象利用者: 一般
• 一般注記: application/pdf; Background: 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.Methods: 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. Results: 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.Conclusions: 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.; 本文/Department of Clinical Anesthesiology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu-City, Mie 514-8507, Japan.; 9p
• DOI: info:doi/10.1186/s12909-018-1410-0; https://doi.org/info:doi/10.1186/s12909-018-1410-0
• 国立国会図書館永続的識別子: info:ndljp/pid/11511860; https://dl.ndl.go.jp/pid/11511860
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2020-07-06T20:31:19+09:00
• 作成日（W3CDTF）: 2020-06-09
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10076/00019072; https://mie-u.repo.nii.ac.jp/records/13453
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

目次

2023-12-09 再収集