围手术期神经科学的麻醉模拟:现在和未来。
Simulation in Anesthesia for Perioperative Neuroscience: Present and Future.
发表日期:2023 Oct 27
作者:
Rodrigo Nakatani, Krisha Patel, Tumul Chowdhury
来源:
JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY
摘要:
大脑对生理参数波动的敏感性要求在神经外科手术期间精确控制麻醉,这与神经外科手术的复杂性和潜在的不良结果相结合,使得神经麻醉具有挑战性。神经麻醉师作为围手术期医生,与神经外科医生、神经科医生、神经重症医生和神经放射科医生密切合作,为患有复杂神经系统疾病的患者提供护理,通常处理危及生命的疾病,如创伤性脑损伤、脑肿瘤、脑动脉瘤和脊髓损伤。使用模拟来练习紧急情况可能有可能提高神经麻醉师的能力和技能获取。仿真模型,包括高保真人体模型、虚拟现实和基于计算机的仿真,可以复制与神经外科手术相关的生理反应、解剖结构和并发症。高保真模拟的使用可以作为现实生活中神经麻醉临床暴露和培训的宝贵补充。版权所有 © 2023 Wolters Kluwer Health, Inc. 保留所有权利。
The brain's sensitivity to fluctuations in physiological parameters demands precise control of anesthesia during neurosurgery, which, combined with the complex nature of neurosurgical procedures and potential for adverse outcomes, makes neuroanesthesia challenging. Neuroanesthesiologists, as perioperative physicians, work closely with neurosurgeons, neurologists, neurointensivists, and neuroradiologists to provide care for patients with complex neurological diseases, often dealing with life-threatening conditions such as traumatic brain injuries, brain tumors, cerebral aneurysms, and spinal cord injuries. The use of simulation to practice emergency scenarios may have potential for enhancing competency and skill acquisition amongst neuroanesthesiologists. Simulation models, including high-fidelity manikins, virtual reality, and computer-based simulations, can replicate physiological responses, anatomical structures, and complications associated with neurosurgical procedures. The use of high-fidelity simulation can act as a valuable complement to real-life clinical exposure and training in neuroanesthesia.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.