中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (12): 1136-1139.DOI: 10.3760/cma.j.cn115259-20210531-00699

• 住院医师规范化培训 • 上一篇    下一篇

胸外科麻醉专项培训项目的建立

张静1, 郭智星1, 倪诚1, 谭锋维2, 张国华1, 郑晖1   

  1. 1国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院麻醉科 100021;
    2国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院胸外科 100021
  • 收稿日期:2021-05-31 发布日期:2021-11-29
  • 通讯作者: 倪诚, Email: nicheng@cicams.ac.cn, 电话: 010-87787024

The establishment of a standardized specialist training program for thoracic anesthesia

Zhang Jing1, Guo Zhixing1, Ni Cheng1, Tan Fengwei2, Zhang Guohua1, Zheng Hui1   

  1. 1Department of Anesthesiology, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College & National Cancer Center & National Clinical Research Center for Cancer, Beijing 100021, China;
    2Department of Thoracic Surgery, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College & National Cancer Center & National Clinical Research Center for Cancer, Beijing 100021, China
  • Received:2021-05-31 Published:2021-11-29
  • Contact: Ni Cheng, Email: nicheng@cicams.ac.cn, Tel: 0086-10-87787024

摘要: 随着胸外科的迅速发展,高难度手术比例逐渐上升,对麻醉医师的能力和技术提出了更高的要求。与之相应,住院医师的胸外科麻醉培训内容越来越复杂,涉及的理论、标准和技术也在持续更新。因此,制订规范化的胸外科麻醉专项培训内容具有重要意义。本文梳理了胸外科麻醉涉及的培训内容和培训现状,从师资队伍建设、培训实施周期、评估与反馈体系等方面进行探索和研究,形成了包含气道管理培训、通气策略培训、多模式镇痛培训和术后加速康复管理培训在内的具有科学性和可行性的培训内容。进行规范化的培训有助于培养合格的麻醉人才,提高胸外科患者围术期安全性并加速患者的术后康复,在此基础上,促进胸外科麻醉专项培训的完善和发展。

关键词: 胸外科麻醉, 住院医师, 专项培训

Abstract: With the rapid development of thoracic surgery, the proportion of difficult operation has been gradually increasing, which stimulates staff capacity building and technology development of anesthesiology. Also, the contents of thoracic anesthesia training for residents are getting more complicated. The theory, standards and techniques involved are constantly updated, so it is of great value to establish a standardized thoracic anesthetic training program. It should include airway management, ventilation strategy, multimodal analgesia and post-operative enhanced recovery management. This paper reviews the current situation of thoracic anesthesia training to fill the gap in this field. The research focuses on the development of a competent faculty, the training cycle, evaluation and feedback mechanism. By establishing a standardized training program which may achieve the goal of training qualified anesthesiologists, improve peri-operative safety and accelerate post-operative rehabilitation.

Key words: Thoracic surgery anesthesia, Resident, Specialist training

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