The establishment of a standardized specialist training program for thoracic anesthesia

doi:10.3760/cma.j.cn115259-20210531-00699

Abstract

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

CLC Number:

Zhang Jing, Guo Zhixing, Ni Cheng, Tan Fengwei, Zhang Guohua, Zheng Hui. The establishment of a standardized specialist training program for thoracic anesthesia[J]. Chinese Journal of Medical Education, 2021, 41(12): 1136-1139.

References

[1] 金宝伟,郭建荣. 单肺通气肺损伤机制及保护策略研究进展[J]. 中国急救医学,2010,30(8):745-748. DOI:10.3969/j.issn.1002-1949.2010.08.020.
[2] McGrath B, Tennuci C, Lee G. The history of one-lung anesthesia and the double-lumen tube[J]. J Anesth Hist, 2017,3(3):76-86. DOI: 10.1016/j.janh.2017.05.002.
[3] Eichenbaum KD, Neustein SM. Acute lung injury after thoracic surgery[J]. J Cardiothorac Vasc Anesth, 2010,24(4):681-690. DOI: 10.1053/j.jvca.2009.10.032.
[4] Maxwell C, Nicoara A. New developments in the treatment of acute pain after thoracic surgery[J]. Curr Opin Anaesthesiol, 2014,27(1):6-11. DOI: 10.1097/ACO.0000000000000029.
[5] 王茹, 宋爱侠, 李朗, 等. 我国教学医院气道管理模拟教学现状分析与策略研究[J].中华医学教育探索杂志,2018,17(4):429-432. DOI: 10.3760/cma.j.issn.2095-1485.2018.04.024.
[6] 阚敏慧,兰飞,冯鲲鹏,等.超声引导下的神经阻滞在麻醉教学中的应用[J].北京医学,2019,41(8):757-758
[7] Nakata M, Saeki H, Yokoyama N, et al. Pulmonary function after lobectomy: video-assisted thoracic surgery versus thoracotomy[J]. Ann Thorac Surg, 2000,70(3):938-941. DOI: 10.1016/s0003-4975(00)01513-7.
[8] 姜柏林, 赵莹, 鞠辉, 等. 高仿真模拟训练在纤维支气管镜插管教学中的应用及学习曲线研究[J].中华医学教育杂志,2016,36(1):93-97. DOI: 10.3760/cma.j.issn.1673-677X.2016.01.025.
[9] 钱敏, 刘伟平, 魏滨, 等. 构建基于可视化技术的气道管理培训体系的探索[J].中华医学教育杂志,2019,39(6):441-445. DOI: 10.3760/cma.j.issn.1673-677X.2019.06.006.
[10] Koopman EM, Barak M, Weber E, et al. Evaluation of a new double-lumen endobronchial tube with an integrated camera (VivaSight-DL): a prospective multicentre observational study[J]. Anaesthesia, 2015,70(8):962-968. DOI: 10.1111/anae.13068.
[11] 弓胜凯, 艾英, 应亮, 等. 可视支气管堵塞器插管和可视双腔支气管导管插管的对比研究[J].中国内镜杂志,2019,25(11):45-50. DOI: 10.3969/j.issn.1007-1989.2019.11.006.
[12] García-Delgado M, Navarrete-Sánchez I, Colmenero M. Preventing and managing perioperative pulmonary complications following cardiac surgery[J]. Curr Opin Anaesthesiol, 2014,27(2):146-152. DOI: 10.1097/ACO.0000000000000059.
[13] 陶广华, 陈庆, 冯登, 等. 单肺通气患者肺功能保护研究进展[J].现代中西医结合杂志,2020,29(2):224-228. DOI: 10.3969/j.issn.1008-8849.2020.02.027.
[14] Reuben SS, Yalavarthy L. Preventing the development of chronic pain after thoracic surgery[J]. J Cardiothorac Vasc Anesth, 2008,22(6):890-903. DOI: 10.1053/j.jvca.2008.02.016.
[15] 张振龙, 潘小杰, 欧德彬. 加速康复外科理念在胸腔镜肺癌根治术的应用[J].中国康复医学杂志,2019,34(8):950-953. DOI: 10.3969/j.issn.1001-1242.2019.08.014.
[16] Canet J, Gallart L, Gomar C, et al. Prediction of postoperative pulmonary complications in a population-based surgical cohort[J]. Anesthesiology, 2010,113(6):1338-1350. DOI: 10.1097/ALN.0b013e3181fc6e0a.
[17] Freise H, Van Aken HK. Risks and benefits of thoracic epidural anaesthesia[J]. Br J Anaesth, 2011,107(6):859-868. DOI: 10.1093/bja/aer339.
[18]Maxwell C, Nicoara A. New developments in the treatment of acute pain after thoracic surgery[J]. Curr Opin Anaesthesiol, 2014,27(1):6-11. DOI: 10.1097/ACO.0000000000000029.