CN109003497A - airway management training method and system - Google Patents
airway management training method and system Download PDFInfo
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- CN109003497A CN109003497A CN201810793369.0A CN201810793369A CN109003497A CN 109003497 A CN109003497 A CN 109003497A CN 201810793369 A CN201810793369 A CN 201810793369A CN 109003497 A CN109003497 A CN 109003497A
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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B9/00—Simulators for teaching or training purposes
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q50/00—Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
- G06Q50/10—Services
- G06Q50/20—Education
- G06Q50/205—Education administration or guidance
Abstract
A kind of airway management training method includes training mode, training mode includes the following: that bite-block, sleeve bag gas-filling, confirmation catheter position are placed in case selection, informed consent and preoperative evaluation, air flue assessment, article selection preparations, position support, pressurization oxygen supply, the merging of simulation laryngoscope, the merging of simulation conduit, simulation: prompt is directed at tracheal catheter ventilation using Bag-valve mask+, it receives and catheter position is confirmed to 5 right upper lung of virtual patient, bottom right lung, upper left lung, lower-left lung, stomach region auscultation operational orders, if receiving determine instruction fixed catheter；Above-mentioned airway management training method and system are according to the operating process project training process of practical airway management, it is linked up before Design Technology, according to the true auscultation confirmation catheter position of simulation, operation acknowledgement catheter position is auscultated to 5 right upper lung of virtual patient, bottom right lung, upper left lung, lower-left lung, stomach regions, and the operating process of operator is timely feedbacked in model person suitable position setting inductor, it manages in time.
Description
Technical field
The present invention relates to medical teaching training system, in particular to a kind of airway management training method and system.
Background technique
Airway management is one of the basic skills that department of anesthesia, emergency department and critical care medicine doctor must grasp.Wherein, gas
Cannula is frequency of use height, the biggish operation of operation difficulty in clinical position.Student clinically seldom has an opportunity to train；
Traditional analog people training process is incomplete, part training method does not conform to the actual conditions；Student's operating process is without monitoring inerrancy feedback；
Existing model training step is not complete, only intubation link, lacks that preoperative communications prepares, pneumatic duct is assessed；In operation really
The method for determining catheter position is directly to observe exposed lung stomach function regulating structure and relax to contract not being inconsistent with real stethoscopy；Conventional model people is
" dead ", the corresponding feedback of student will not be given according to student's different operation；Skill teaching, it is necessary to it is taught on classroom by teacher,
Daily workout is difficult to carry out；The training of traditional approach only skilled practice, lacks the culture of clinical thinking.
Summary of the invention
Based on this, it is necessary to provide a kind of guidance operator and carry out airway management simulated operation to improve operator's pneumatic duct
Manage the airway management training method of operational capacity.
Meanwhile a kind of guidance operator being provided and carries out airway management simulated operation to improve operator's airway management operation energy
The airway management training system of power.
A kind of airway management training method, including training mode, institute's training mode include the following steps:
Case selection: receiving case selection instruction, and control display case receives confirmation instruction, into the first scene；
Informed consent and preoperative evaluation: control playing animation prompts to check patient information and informed consent form as required；
Air flue assessment: patient is mentioned in prompt to be assessed；
Article selection prepares: entering the second scene, prompts to carry out article selection, receives article selection, judge that article chooses whether
Correctly, it if article selection is completed, prompts to carry out article inspection；
Position support: receiving operating bed instruction, controls screen switching to operating bed and shows visual angle, receives the neck setting of model person
Inductor detection model department of human head and neck angle value delta data, if detecting, incidence angle value reaches correct position,
Control display faces upward head and opens air flue animation；
Pressurization oxygen supply: detection air bag ventilates to model person, receives the barometrical testing number of model person tracheae corresponding position setting
According to, detect ventilatory capacity, ventilatory frequency, control display device show in scene ventilation animation and display detect ventilatory capacity,
Ventilatory frequency；
Simulate laryngoscope merging: prompt laryngoscope operation receives the detection data of the inductor of model person throat corresponding position setting, inspection
Survey judge emulation laryngoscope whether reach correct position, whether on mention up to correct angle；
Simulation conduit merging: the sensing device detection data of the tracheae corresponding position setting of model person, detection emulation tracheae are received
Whether conduit reaches correct position, and whether emulation tracheal catheter is correctly inserted into tracheae, and it is deep whether emulation tracheal catheter reaches setting
Degree；
Bite-block is placed in simulation: being detected that conduit is inserted into tracheae setting position, is received bite-block dragging instruction, bite-block drags if detecting
In dynamic virtual patient mouth, then controls and play bite-block merging animation；
Sleeve bag gas-filling: prompt carries out gas injection in emulation cuff for endotracheal catheter gas injection end using emulation syringe, shows gas injection rate, connects
Determine instruction is received, gas injection operation is completed；
Confirm catheter position: prompt is directed at tracheal catheter using Bag-valve mask+ and ventilates, and receives auscultation instruction and is auscultated, reception pair
5 region auscultation operational orders of right upper lung, bottom right lung, upper left lung, lower-left lung, stomach of virtual patient confirm catheter position, if
Four right upper lung, bottom right lung, upper left lung, lower-left lung positions have sound, stomach voiceless sound then to judge simulating conduit implantation site just
Really, determine instruction is received to enter
Fixed catheter: control enters fixed catheter operation interface, receives instruction simulation conduit and fixes.
In a preferred embodiment, the air flue, which is assessed, includes:
Mouth opening detection: receiving mouth opening instruction, control the virtual patient lips in the first scene, receives measurement mouth opening and refers to
Enable measurement patient mouth opening when dehiscing to greatest extent, if click location correctly if judge to be measured；
Neck activity measurement: receiving the instruction of neck activity measurement, prompts sliding patients head to adjust patient Qu Jing and stretches neck, refers to
Show that stirring patients head's adjustment patient Qu Jing stretches neck, receives and then completes neck activity measurement along instruction operational order；
First chin spacing detection: receive detection first chin spacing instruction, prompt patient swing back to greatest extent measurement incisura cartilago thyreoidea and
The spacing of mandibular chin projection receives and completes the instruction of first chin spacing along prompt operational order.
In a preferred embodiment, miscue is provided if article selection mistake in the article selection preparation；If connecing
Determine instruction is received, selection mistake or selection be not complete, then provides prompt；If article selection is completed, prompt to click corresponding instrument
Successively carry out article inspection；
The position support further include: receive the thin pillow of dragging to patient's occipitalia and instruct, by thin bolster in patient's occipitalia.
In a preferred embodiment, in the pressurization oxygen supply step, if detecting the ventilatory capacity or ventilation frequency of model person
Rate deviates setting value or normal value, then gives prompt.
In a preferred embodiment, in simulation laryngoscope merging, receive model person tongue tail portion or tongue root position with
The detection data of first sensing device of epiglottic vallecula corresponding position setting, if the first sensing device is triggered if laryngoscope enters throat
Judge that laryngoscope reaches setting position；Receive the second sensing device that throat corresponding position is set with induction laryngoscope angle by bracket
Detection data, if laryngoscope above mention triggering the second sensing device if judge to mention set angle on laryngoscope；The simulation laryngoscope is set
In entering, the corresponding position of tooth is provided with the detection data of third sensing device in reception, if laryngoscope squeezes upper tooth, triggers third sense
It answers device then to judge laryngoscope faulty operation, carries out miscue.
In a preferred embodiment, in the simulation conduit merging, the tracheae induction being arranged in the tracheae of model person is received
Whether the detection data of device, induction emulation tracheal catheter reach tracheae；The oesophagus for receiving the oesophagus setting of model person incudes dress
The detection data set judges to be intubated mistake, carries out mistake and mention if detecting that emulation tracheal catheter triggers oesophagus sensing device
Show；The bronchus for being received in model person is provided with the detection data of bronchus sensing device, if emulation tracheal catheter is inserted into branch gas
Pipe triggers the bronchus sensing device, then judges to be intubated too deep, gives prompt.
In a preferred embodiment, in the confirmation catheter position, receive right upper lung, the bottom right lung, a left side to virtual patient
5 upper lung, lower-left lung, stomach region auscultation operational orders confirm catheter position, right if emulation tracheal catheter inserts oesophagus
Upper lung, bottom right lung, upper left lung, lower-left lung region voiceless sound, stomach region have sound；If emulation tracheal catheter inserts left branch gas
Then upper left lung, lower-left lung have sound, right upper lung, bottom right lung, stomach region voiceless sound to pipe；If emulation tracheal catheter inserts right branch
Then there are sound, upper left lung, lower-left lung, stomach region voiceless sound in right upper lung, bottom right lung region to tracheae；Sentenced after the completion of auscultation
It is disconnected, if misjudgment gives prompt.
In a preferred embodiment, it is received in the fixed catheter in dragging adhesive plaster on screen to virtual patient face,
Control shows different immobilization with adhesive tape methods, if selecting correct fixing means, receives determine instruction, completes immobilization with adhesive tape；If selection
Mistake then carries out miscue.
In a preferred embodiment, further includes: teaching pattern: successively display operation step: case selection, informed consent with
Preoperative evaluation, air flue, which are assessed, article selects preparation, position support, pressurization oxygen supply, simulation laryngoscope are placed in, simulate conduit is placed in,
Bite-block, sleeve bag gas-filling, confirmation catheter position, fixed catheter are placed in simulation, and provide active voice error correction, knowledge point prompting；
Further include: examination pattern: recording operational circumstances without any prompting, and on backstage, and provide after operation scoring and
Erroneous point, and specific mistake is pointed out according to case.
A kind of airway management training system, including main control device, the display device communicated with the main control device, with it is described
The simulation people of main control device communication and emulation instrument, the emulation instrument include: to emulate syringe, air bag, emulation tracheae to lead
Pipe, Bag-valve mask+ emulate laryngoscope, are provided with magnetic part on the eyeglass of the emulation laryngoscope；It is arranged in the tracheae of the simulation people
There is barometer, the model person is provided with inductor in throat corresponding position, and tracheae corresponding position is provided with sensing device；
The main control device includes: training mode module, and institute's training mode module includes:
Case selection unit: receiving case selection instruction, and control display case receives confirmation instruction, into the first scene；
Informed consent and preoperative evaluation unit: control playing animation prompts to check patient information and informed consent form as required；
Air flue assessment unit: patient is mentioned in prompt to be assessed,
Article selects preparatory unit: entering the second scene, prompts to carry out article selection, receive article selection, judges that article selects
It is whether correct, if article selection is completed, prompt to carry out article inspection；
Position support unit: receiving operating bed instruction, controls screen switching to operating bed and shows visual angle, receives the neck of model person
The inductor detection model department of human head and neck angle value of setting changes, if detecting, incidence angle value reaches correct position, controls
System display faces upward head and opens air flue animation；
Pressurize oxygen supply unit: detection air bag ventilates to model person, receives model person tracheae corresponding position and is provided with barometer detection
The data of ventilatory capacity, ventilatory frequency, control display device show ventilation animation in scene and show the ventilatory capacity detected, lead to
Gas frequency,
Simulate laryngoscope and be placed in unit: prompt laryngoscope operation receives the testing number of the inductor of model person throat corresponding position setting
According to, detection emulation laryngoscope whether reach correct position, whether on mention up to correct angle,
Simulation conduit is placed in unit: receiving the detection data of the sensing device of the tracheae corresponding position setting of model person, detection is imitative
Whether true tracheal catheter reaches correct position, whether emulation tracheal catheter is correctly inserted into tracheae, whether emulation tracheal catheter reaches
Set depth；
Bite-block unit is placed in simulation: being detected that conduit is inserted into tracheae setting position, bite-block dragging instruction is received, if detecting tooth
In pad dragging virtual patient mouth, then controls and play bite-block merging animation；
Sleeve bag gas-filling unit: prompt carries out gas injection in emulation cuff for endotracheal catheter gas injection end using emulation syringe, shows gas injection
Amount receives determine instruction, completes gas injection operation；
Confirm catheter position unit: prompt is ventilated using Bag-valve mask+ alignment emulation tracheal catheter, is received auscultation instruction and is listened
It examines, receives and 5 right upper lung of virtual patient, bottom right lung, upper left lung, lower-left lung, stomach region auscultation operational order confirmations are led
Pipe position judges that simulating conduit sets if there are sound, stomach voiceless sound in four right upper lung, bottom right lung, upper left lung, lower-left lung positions
It is correct to enter position, receives determine instruction and is connected to
Fixed catheter unit: control enters fixed catheter operation interface, receives instruction simulation conduit and fixes.
Above-mentioned airway management training method and system carry out simulation air flue by prompting, timely feedbacking guidance operator
Management operation, and give judgement in time to operation, judge, it timely feedbacks to operator, guides operator to operate, give in time
With guidance, linked up according to the operating process project training method flow of practical airway management, before Design Technology carry out informed consent with
Preoperative evaluation and pneumatic duct assessment and etc., according to the true auscultation confirmation catheter position of simulation, receive the upper right to virtual patient
5 lung, bottom right lung, upper left lung, lower-left lung, stomach region auscultation operational orders confirm catheter position, and in the suitable position of model person
Install inductor, sensing device feeds back the operating process of operator in time, be managed in time, while by practical behaviour
Make design cycle step, increase the sense of reality of simulated training, cultivate clinical thinking, improves operator's airway management operational capacity.
Detailed description of the invention
Fig. 1 is the flow diagram of the airway management training method of one embodiment of the invention；
Fig. 2 is the functional block diagram schematic diagram of the airway management training system of one embodiment of the invention；
Fig. 3 is the functional block diagram schematic diagram of the airway management training system of another preferred embodiment of the present invention.
Specific embodiment
As shown in Figure 1, the airway management training method of one embodiment of the invention, including training mode, institute's training mode packet
Include following steps:
Step S101, case selection: receiving case selection instruction, and control display case receives confirmation instruction, into first
Scape.
The first scene in the present embodiment is preoperative scene.
Step S103, informed consent and preoperative evaluation: control playing animation prompts verification patient information as required and knows
Letter of consent.
Step S105, air flue assessment: prompt mentions patient and carries out air flue assessment.
Step S107, article selection prepare: entering the second scene, prompt to carry out article selection, receive article selection, judgement
Article chooses whether correctly, if article selection is completed, prompts to carry out article inspection.
The second scene in the present embodiment is surgical scene.
Step S109, position support: receiving operating bed instruction, and control screen switching to operating bed shows visual angle, receives mould
The detection data of the inductor of the neck setting of type people, detection model department of human head and neck angle value variation, if detecting incidence angle
Angle value reaches correct position, then controls display and face upward head opening air flue animation.Operator clicks operating bed, and system receives instruction then
It controls screen switching and shows visual angle to operating bed.
Step S111, oxygen supply of pressurizeing: detection air bag ventilates to model person, receives the gas of model person tracheae corresponding position setting
The detection data of meter is pressed, ventilatory capacity, ventilatory frequency are detected, main control device control display device shows ventilation animation simultaneously in scene
Show ventilatory capacity, the ventilatory frequency detected.
Step S113, simulation laryngoscope merging: prompt laryngoscope operation receives the inductor of model person throat corresponding position setting
Detection data, detection emulation laryngoscope whether reach correct position, whether on mention up to correct angle.
Step S115, simulation conduit merging: receiving the sensing device detection data of the tracheae corresponding position setting of model person,
Whether detection emulation tracheal catheter reaches correct position, and whether emulation tracheal catheter is correctly inserted into tracheae, and emulation tracheal catheter is
It is no to reach set depth.
Bite-block is placed in step S117, simulation: it detects that conduit is inserted into tracheae setting position, receives bite-block dragging instruction,
If detecting in bite-block dragging virtual patient mouth, controls and play bite-block merging animation.
Step S119, sleeve bag gas-filling: prompt carries out gas injection in emulation cuff for endotracheal catheter gas injection end using emulation syringe,
It shows gas injection rate, receives determine instruction, complete gas injection operation.
Step S121, confirm catheter position: prompt using Bag-valve mask+ alignment tracheal catheter ventilate, receive auscultation instruct into
Row auscultation receives true to 5 right upper lung of virtual patient, bottom right lung, upper left lung, lower-left lung, stomach region auscultation operational orders
Recognize catheter position, judges that simulation is led if there are sound, stomach voiceless sound in four right upper lung, bottom right lung, upper left lung, lower-left lung positions
Pipe implantation site is correct, receives determine instruction and enters
Step S123, fixed catheter: control enters fixed catheter operation interface, receives instruction progress conduit and fixes.
Further, the air flue assessment of the present embodiment includes: mouth opening detection, neck activity measurement, first chin spacing detection.
Mouth opening detection: receiving mouth opening instruction, control the virtual patient lips in the first scene, receives measurement and dehisces
Degree instruction measurement patient mouth opening when dehiscing to greatest extent, if click location correctly if judge to be measured.
Neck activity measurement: receiving the instruction of neck activity measurement, prompts sliding patients head to adjust patient Qu Jing and stretches
Neck, instruction stir patients head's adjustment patient Qu Jing and stretch neck, receive and then complete neck activity measurement along instruction operational order.
First chin spacing detection: receive detection first chin spacing instruction, prompt patient swing back to greatest extent measure thyroid cartilage cut
The spacing of mark and mandibular chin projection receives and completes the instruction of first chin spacing along prompt operational order.
Further, miscue is provided if article selection mistake in the article selection preparation of the present embodiment；If receiving
Determine instruction, selection mistake or selection be not complete, then provides prompt；If article selection is completed, prompt to click corresponding instrument successively
Carry out article inspection.
In the article selection preparation of the present embodiment after the completion of animation play, into operating room scene, mentioned according to voice, text
Show that clicking treatment center carries out article selection, selects correct article to be moved to left side, point after the completion of selection from the treatment center of right side
" determination " button is hit, when selection mistake or selection be not full-time, system will be given and prompt.
Further, the position support of the present embodiment further include: receive dragging it is thin pillow to patient's occipitalia instruct, by thin bolster in
Patient's occipitalia.
Further, in the pressurization oxygen supply step of the present embodiment, if detecting, the ventilatory capacity of model person or ventilatory frequency deviate
Setting value or normal value then give prompt.
Further, it in the simulation laryngoscope merging of the present embodiment, is provided with using on the eyeglass corresponding position of emulation laryngoscope
Magnet receives the tongue tail portion of model person or the testing number of tongue root position and the first sensing device of epiglottic vallecula corresponding position setting
According to, judge if the first sensing device is triggered if laryngoscope enters throat laryngoscope reach setting position；It is logical to receive throat corresponding position
The detection data that bracket is set with the second sensing device of induction laryngoscope angle is crossed, if laryngoscope above mentions the second sensing device of triggering
Judge to mention set angle on laryngoscope；In simulation laryngoscope merging, the of the corresponding position setting of the upper tooth of model person is received
The detection data of three sensing devices, if laryngoscope squeezes upper tooth, triggering third sensing device judges laryngoscope faulty operation, carries out wrong
Accidentally prompt.
Further, in the simulation conduit merging of the present embodiment, the tracheae sensing device being arranged in the tracheae of model person is received
Detection data, induction emulation tracheal catheter whether reach tracheae；The oesophagus of model person is provided with oesophagus sensing device, if inspection
Measure emulation tracheal catheter trigger oesophagus sensing device then judge be intubated mistake, carry out miscue；In the branch gas of model person
Pipe is provided with bronchus sensing device, if emulation tracheal catheter insertion bronchus triggers the bronchus sensing device, sentences
Disconnected intubation is too deep, gives prompt.
Further, in the confirmation catheter position of the present embodiment, receive to the right upper lung of virtual patient, bottom right lung, upper left lung,
Lower-left lung, 5 regions of stomach auscultation operational orders confirm catheter positions, if emulation tracheal catheter inserts oesophagus right upper lung,
Bottom right lung, upper left lung, lower-left lung region voiceless sound, stomach region have sound；If emulation tracheal catheter inserts left bronchus
Upper left lung, lower-left lung have sound, right upper lung, bottom right lung, stomach region voiceless sound；If emulation tracheal catheter inserts right bronchus
Then there are sound, upper left lung, lower-left lung, stomach region voiceless sound in right upper lung, bottom right lung region；Judged after the completion of auscultation, if
Misjudgment gives prompt.Virtual patient in the present embodiment is that display device shows the patient shown on picture.
Further, it receives in dragging adhesive plaster on screen to virtual patient face, controls in the fixed catheter of the present embodiment
It shows different immobilization with adhesive tape methods, if selecting correct fixing means, receives determine instruction, complete immobilization with adhesive tape；If selecting mistake
Then carry out miscue.
Further, the airway management training method of the present embodiment further include: teaching pattern: successively display operation step: disease
Example selection, informed consent and preoperative evaluation, air flue assessment, article selection preparation, position support, pressurization oxygen supply, simulation laryngoscope are set
Enter, simulate conduit merging, simulation placement bite-block, sleeve bag gas-filling, confirmation catheter position, fixed catheter, and active voice is provided and is entangled
It reminds wrong, knowledge point.
Further, the airway management training method of the present embodiment further include: examination pattern: without any prompting, and on backstage
Operational circumstances are recorded, and provide scoring and erroneous point after operation, and specific mistake is pointed out according to case.
As shown in Fig. 2, the airway management training system 100 of one embodiment of the invention, comprising: main control device 20 and master control
The display equipment 40 of the communication of equipment 20, the model person 60 communicated with main control device 20 and emulation instrument 80.Emulating instrument includes:
Respiratory balloon, emulation laryngoscope, bite-block, emulation syringe, emulation tracheal catheter etc..
The lens position of emulation laryngoscope is provided with magnetic part.Model person 60 is provided with detection ventilatory capacity, ventilation at tracheae
The barometer of frequency；It is provided with tracheae sensing device in tracheae, oesophagus sensing device is provided in oesophagus, in bronchus
It is provided with bronchus sensing device, upper tooth corresponding position is provided with third sensing device；It is provided in tongue tail portion or root of the tongue portion
First sensing device is equipped with the second sensing device by bracket in throat corresponding position.
Main control device 20 includes: training mode module 22.Training mode module 200 includes: case selection unit 202, knows
Feelings agree to preoperative evaluation unit 204, air flue assessment unit 206, article selection preparatory unit 208, position support unit 210,
Pressurize oxygen supply unit 212, simulation laryngoscope merging unit 214, simulation conduit merging unit 216, simulation place bite-block unit 218,
Sleeve bag gas-filling unit 220, confirmation catheter position unit 222.
Case selection unit 202: receiving case selection instruction, and control display case receives confirmation instruction, into first
Scape.
Informed consent and preoperative evaluation unit 204: control playing animation prompts verification patient information as required and knows same
Meaning book.
Air flue assessment unit 206: patient is mentioned in prompt to be assessed.
Article selects preparatory unit 208: entering the second scene, prompts to carry out article selection, receives article selection, judge object
Product choose whether correctly, if article selection is completed, prompt to carry out article inspection.
Position support unit 210: receiving operating bed instruction, controls screen switching to operating bed and shows visual angle, passes through model
The neck of people 60, which is provided with inductor detection model department of human head and neck angle value, to be changed and uploads, if detecting, incidence angle value reaches
To correct position, then controls display and face upward head opening air flue animation.
Pressurize oxygen supply unit 212: detection respiratory balloon ventilates to model person 60, receives the tracheae corresponding position of model person 60
It is provided with barometrical detection data, detection ventilatory capacity, ventilatory frequency are simultaneously uploaded to, and control display device 40 is shown in scene
Ventilation animation simultaneously shows ventilatory capacity, the ventilatory frequency detected.
Simulate laryngoscope and be placed in unit 214: prompt laryngoscope operation receives the inductor of 60 throat corresponding position of model person setting
Detection data, detection judge emulation laryngoscope whether reach correct position, whether on mention up to correct angle and upload judgement.?
In preferred embodiment, in the present embodiment, the inductor of throat corresponding position setting includes: to be provided in tongue tail portion or root of the tongue portion
First sensing device is equipped with the second sensing device by bracket in throat corresponding position.
It simulates conduit and is placed in unit 216: receiving the testing number of the sensing device of the tracheae corresponding position setting of model person 60
According to detection judges emulate whether tracheal catheter reaches correct position, whether emulation tracheal catheter is correctly inserted into tracheae, emulation tracheae
Whether conduit reaches set depth.
Bite-block unit 218 is placed in simulation: it detects that conduit is inserted into tracheae setting position, receives bite-block dragging instruction, if
It detects in bite-block dragging virtual patient mouth, then controls and play bite-block merging animation.
Sleeve bag gas-filling unit 220: prompt carries out gas injection in emulation cuff for endotracheal catheter gas injection end using emulation syringe, shows
Show gas injection rate, receive determine instruction, completes gas injection operation.It emulates syringe and main control device communicates to connect.It emulates in syringe
It is provided with variable resistance, changes the resistance value of variable resistance by syringe pump movement, so that it is determined that the shift position of syringe pump, from
And the injection volume of simulated injection device, and transfer data to main control device.
Confirm catheter position unit 222: prompt is ventilated using Bag-valve mask+ alignment tracheal catheter, is received auscultation instruction and is carried out
Auscultation is received to 5 right upper lung of virtual patient, bottom right lung, upper left lung, lower-left lung, stomach region auscultation operational order confirmations
Catheter position judges to simulate conduit if there are sound, stomach voiceless sound in four right upper lung, bottom right lung, upper left lung, lower-left lung positions
Implantation site is correct, receives determine instruction connection
Fixed catheter unit 224: control enters fixed catheter operation interface, receives instruction simulation conduit and fixes.
As shown in figure 3, further, the air flue assessment unit 206 of the present embodiment includes: mouth opening detection unit 2062, neck
Portion's activity measurement unit 2064, first chin spacing detection unit 2066.
Mouth opening detection unit 2062: mouth opening instruction is received, the virtual patient lips in the first scene are controlled, is received
Measurement mouth opening instruction measurement patient mouth opening when dehiscing to greatest extent, if click location correctly if judge to be measured.
Neck activity measurement unit 2064: receiving the instruction of neck activity measurement, prompts sliding patients head to adjust and suffers from
Person's song neck stretches neck, and instruction stirs patients head's adjustment patient Qu Jing and stretches neck, receives edge and indicates that operational order then completes neck and lives
Dynamic degree detection.
First chin spacing detection unit 2066: detection first chin spacing instruction is received, prompts patient to swing back to greatest extent and measures first
The spacing of shape cartilaginis and mandibular chin projection receives and completes the instruction of first chin spacing along prompt operational order.
Further, in the article selection preparatory unit 208 of the present embodiment, miscue is provided if article selection mistake；
If receiving determine instruction, selection mistake or selection be not complete, then provides prompt；If article selection is completed, prompt to click corresponding
Instrument successively carries out article inspection.
The article of the present embodiment selects preparatory unit 208, after the completion of animation play, into operating room scene, according to voice,
Text prompt clicks treatment center and carries out article selection, selects correct article to be moved to left side from the treatment center of right side, has selected
At rear click " determination " button, when selection mistake or selection be not full-time, system will be given and prompt.
Further, the position support unit 210 of the present embodiment further include: it receives the thin pillow of dragging to patient's occipitalia and instructs, it will
Thin bolster is in patient's occipitalia.
Further, the pressurization oxygen supply unit 212 of the present embodiment, if detecting, the ventilatory capacity of model person or ventilatory frequency are inclined
From setting value or normal value, then prompt is given.
Further, the present embodiment simulation laryngoscope be placed in unit 214, receive model person tongue tail portion or tongue root position with
The detection data of first sensing device of epiglottic vallecula corresponding position setting, if the first sensing device is triggered if laryngoscope enters throat
Judge that laryngoscope reaches setting position；Receive the second sensing device of the induction laryngoscope angle that throat corresponding position is set by bracket
Detection data, if laryngoscope above mention triggering the second sensing device if judge to mention set angle on laryngoscope；The simulation laryngoscope is set
In entering, the corresponding position of upper tooth is provided with third sensing device, if laryngoscope squeezes upper tooth, triggering third sensing device judges
Laryngoscope faulty operation carries out miscue.
It emulates and is provided with magnet on the eyeglass corresponding position of laryngoscope, incude when entering throat epiglottic vallecula corresponding position with first
Device induction, the simulation laryngoscope merging judgement of unit 214 reach the epiglottic vallecula position of setting.Lift triggering second when emulation laryngoscope
Sensing device, judge emulation laryngoscope is lifted to suitable angle.
Further, the simulation conduit of the present embodiment is placed in unit 216, receives the tracheae sense being provided in the tracheae of model person
The detection data of device is answered, detection judges to emulate whether tracheal catheter reaches tracheae；Receive the oesophagus of the oesophagus setting of model person
The detection specified number evidence of sensing device judges intubation mistake if detecting that emulation tracheal catheter triggers oesophagus sensing device, into
Row miscue；The detection data of the bronchus sensing device of the bronchus setting of model person is received, if emulation tracheal catheter is inserted
Enter bronchus and trigger the bronchus sensing device, then judge to be intubated too deep, gives prompt.
Further, the confirmation catheter position unit 222 of the present embodiment receives right upper lung, bottom right lung, a left side to virtual patient
5 upper lung, lower-left lung, stomach region auscultation operational orders confirm catheter position, right if emulation tracheal catheter inserts oesophagus
Upper lung, bottom right lung, upper left lung, lower-left lung region voiceless sound, stomach region have sound；If emulation tracheal catheter inserts left branch gas
Then upper left lung, lower-left lung have sound, right upper lung, bottom right lung, stomach region voiceless sound to pipe；If emulation tracheal catheter inserts right branch
Then there are sound, upper left lung, lower-left lung, stomach region voiceless sound in right upper lung, bottom right lung region to tracheae；Sentenced after the completion of auscultation
It is disconnected, if misjudgment gives prompt.
Further, the fixed catheter unit 224 of the present embodiment receives facial to virtual patient in dragging adhesive plaster on screen,
Control shows different immobilization with adhesive tape methods, if selecting correct fixing means, receives determine instruction, completes immobilization with adhesive tape；If selection
Mistake then carries out miscue.
Further, the main control device 20 of the airway management training system 100 of the present embodiment further include: teaching pattern module
24: successively display operation step: case selection, informed consent and preoperative evaluation, air flue assessment, article selection prepare, position pendulum
It puts, oxygen supply of pressurizeing, the merging of simulation laryngoscope, the merging of simulation conduit, simulate and place bite-block, sleeve bag gas-filling, confirmation catheter position, fixation
Conduit, and active voice error correction, knowledge point prompting are provided.
Further, the main control device 20 of the airway management training system 100 of the present embodiment further include: examination pattern module
26: recording operational circumstances without any prompting, and on backstage, and provide scoring and erroneous point after operation, and according to case
Point out specific mistake.
The airway management training system of the present embodiment is a kind of advanced, interactive oral trachea cannula training of actual situation combination
System.True clinical operating environment, the operating procedure of the clinical true trachea cannula of accurate simulation can be simulated.Meanwhile it can be as passing
Simulation model of uniting is the same, is operated on simulation model, gives instruct in real time in operation, and help improves student's
Operative skill enters true clinical operation for it and takes a firm foundation.
Operation case is all from a clinical line, and there are contraindications for some cases, needs to judge before student's operation.
Instrument is emulated, is interacted with true model, operating effect is shown in virtual scene, and factually intelligent correction
With prompt.System containing teaching, training and examination Three models, student can autonomous learning training and assessment, pass through network platform
It builds, teacher can remote guide.
3 kinds of teaching patterns that system provides:
Training mode: the functions such as active voice error correction, knowledge point prompting are provided.Student can learn in the case where no teacher
Airway management operation.And scoring is provided after operation.
Teaching pattern: the functions such as active voice error correction, knowledge point prompting are provided.
Examination pattern: without any prompting, but backstage records student's operational circumstances, and provides scoring and mistake after operation
It is overdue.And the specific mistake of student is pointed out according to case.
Of the invention checks case history, selects case, reads case, determines whether contraindication.It is clicked after the completion of reading " really
Recognize " button enters scene.Three kinds of case normal cases are provided, opposite contraindication case, absolute contraindication case.
Informed consent of the invention, preoperative evaluation: it reads " case " and enters informed consent and preoperative evaluation operation, system afterwards
Playing animation.Prompt student checks patient information and informed consent form as required.
Air flue assessment, analogue measurement mouth opening, neck mobility, first chin spacing are carried out to patient.
Article selection prepares, and after the completion of animation play, into operating room scene, is prompted to click treatment center according to language and characters
Carry out article selection.It selects correct article to be moved to left side on the right side of from the page in treatment center, clicks " determination " after the completion of selection
Button, when selection mistake or selection be not full-time, system will be given and prompt.
Check and use object: after the completion of article selection, user clicks corresponding instrument and successively carries out article inspection, and system will play
The standard animation of corresponding one section of inspection article.
Position support after article is ready to complete, clicks operating bed, thin pillow is dragged, by thin bolster in patient's occipitalia.Detection is hard
An animation is faced upward in the completion of part signal.
Pressurization oxygen supply, user carry out pressurization oxygen supply, hardware detection ventilation size to model of mind using simple respiratory balloon
And number, interface is by real-time display ventilatory capacity and oxygen supply frequency, when there is ventilatory capacity or oxygen supply frequency departure normal value, system
It can give and prompt.It clicks " skipping ", can directly skip over pressurization oxygen supply operation.
Laryngoscope merging, user carry out exposing glottis operation on model of mind using simulation laryngoscope, and system can be in the upper right corner
To the position of laryngoscope, lifts direction and show.When laryngoscope implantation site or lift direction when the error occurs, system can give language
Sound and text prompt.
Intubation, the hand-held high emulation tracheal catheter of user operate on model of mind people, and the system page can show conduit
Position and depth, when catheter position mistake is such as placed in oesophagus, insertion one laterobronchus of too deep entrance, system will be given and prompt.
Intubation terminates automatic play and places bite-block animation.
Sleeve bag gas-filling, in dragging bite-block on screen to virtual patient oral area, system plays bite-block is placed in animation.
Intubation confirmation, conduit are fixed, and user is ventilated using Bag-valve mask+ alignment tracheal catheter, click virtual patient on screen
Right upper lung, bottom right lung, upper left lung, 5 lower-left lung, stomach regions auscultated, confirm catheter position.It is carried out after the completion of auscultation
Judgement, misjudgment, system, which is given, to be prompted, and is clicked " determination " button and is jumped in next step.
Fixed catheter, after confirming catheter position, into " fixed catheter " operation pages, in dragging adhesive plaster on screen to virtual
Patient's face, system show four kinds of immobilization with adhesive tape methods, select correct fixing means, click " determination " button, and it is solid to complete adhesive plaster
It is fixed.Voice prompt operation is completed.
Scoring: clicking under training mode and examination pattern and submit achievement, can check that student operates achievement.
Airway management training method and system of the invention judges user behavior according to parameter, carries out animation, voice, view
Frequently, text importing, it is final to carry out user's operation acquisition and video playback.Voice and video be then preprepared voice document and
Video file.Scoring then sends information to informatization platform, sends web displaying student score by Informatization Service device.
Airway management intelligent training system is a kind of advanced, interactive oral trachea cannula training system of actual situation combination,
The operating procedure of the accurate true trachea cannula of simulation clinic: before preparing before intubation, being intubated after assessment, catheterization procedure and intubation really
Recognize, be provided simultaneously with the method for judging catheter position being consistent with clinic, provide a great sense of reality for operator and sinks
The operating environment for soaking sense, compensates for the deficiency of physical model in existing teaching, training, using virtual software platform and physical hardware
The mode combined is simulated, really realizes and teaching, training and examination combines together.
The embodiments described above only express several embodiments of the present invention, and the description thereof is more specific and detailed, but simultaneously
Limitations on the scope of the patent of the present invention therefore cannot be interpreted as.It should be pointed out that for those of ordinary skill in the art
For, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to guarantor of the invention
Protect range.Therefore, the scope of protection of the patent of the invention shall be subject to the appended claims.
Claims (10)
1. a kind of airway management training method, which is characterized in that including training mode, institute's training mode includes the following steps:
Case selection: receiving case selection instruction, and control display case receives confirmation instruction, into the first scene；
Informed consent and preoperative evaluation: control playing animation prompts to check patient information and informed consent form as required；
Air flue assessment: patient is mentioned in prompt to be assessed；
Article selection prepares: entering the second scene, prompts to carry out article selection, receives article selection, judge that article chooses whether
Correctly, it if article selection is completed, prompts to carry out article inspection；
Position support: receiving operating bed instruction, controls screen switching to operating bed and shows visual angle, receives the neck setting of model person
Inductor detection model department of human head and neck angle value delta data, if detecting, incidence angle value reaches correct position,
Control display faces upward head and opens air flue animation；
Pressurization oxygen supply: detection air bag ventilates to model person, receives the barometrical testing number of model person tracheae corresponding position setting
According to, detect ventilatory capacity, ventilatory frequency, control display device show in scene ventilation animation and display detect ventilatory capacity,
Ventilatory frequency；
Simulate laryngoscope merging: prompt laryngoscope operation receives the detection data of the inductor of model person throat corresponding position setting, inspection
Survey judge emulation laryngoscope whether reach correct position, whether on mention up to correct angle；
Simulation conduit merging: the sensing device detection data of the tracheae corresponding position setting of model person, detection emulation tracheae are received
Whether conduit reaches correct position, and whether emulation tracheal catheter is correctly inserted into tracheae, and it is deep whether emulation tracheal catheter reaches setting
Degree；
Bite-block is placed in simulation: being detected that conduit is inserted into tracheae setting position, is received bite-block dragging instruction, bite-block drags if detecting
In dynamic virtual patient mouth, then controls and play bite-block merging animation；
Sleeve bag gas-filling: prompt carries out gas injection in emulation cuff for endotracheal catheter gas injection end using emulation syringe, shows gas injection rate, connects
Determine instruction is received, gas injection operation is completed；
Confirm catheter position: prompt is directed at tracheal catheter using Bag-valve mask+ and ventilates, and receives auscultation instruction and is auscultated, reception pair
5 region auscultation operational orders of right upper lung, bottom right lung, upper left lung, lower-left lung, stomach of virtual patient confirm catheter position, if
Four right upper lung, bottom right lung, upper left lung, lower-left lung positions have sound, stomach voiceless sound then to judge simulating conduit implantation site just
Really, determine instruction is received to enter
Fixed catheter: control enters fixed catheter operation interface, receives instruction simulation conduit and fixes.
2. airway management training method according to claim 1, which is characterized in that the air flue, which is assessed, includes:
Mouth opening detection: receiving mouth opening instruction, control the virtual patient lips in the first scene, receives measurement mouth opening and refers to
Enable measurement patient mouth opening when dehiscing to greatest extent, if click location correctly if judge to be measured；
Neck activity measurement: receiving the instruction of neck activity measurement, prompts sliding patients head to adjust patient Qu Jing and stretches neck, refers to
Show that stirring patients head's adjustment patient Qu Jing stretches neck, receives and then completes neck activity measurement along instruction operational order；
First chin spacing detection: receive detection first chin spacing instruction, prompt patient swing back to greatest extent measurement incisura cartilago thyreoidea and
The spacing of mandibular chin projection receives and completes the instruction of first chin spacing along prompt operational order.
3. airway management training method according to claim 1, which is characterized in that if article in article selection preparation
Selection mistake then provides miscue；If receiving determine instruction, selection mistake or selection be not complete, then provides prompt；If article
Selection is completed, and the corresponding instrument of click is prompted successively to carry out article inspection；
The position support further include: receive the thin pillow of dragging to patient's occipitalia and instruct, by thin bolster in patient's occipitalia.
4. airway management training method according to claim 1, which is characterized in that in the pressurization oxygen supply step, if inspection
The ventilatory capacity or ventilatory frequency for measuring model person deviate setting value or normal value, then give prompt.
5. airway management training method according to claim 1, which is characterized in that in the simulation laryngoscope merging, receive
The detection data of the tongue tail portion of model person or tongue root position and the first sensing device of epiglottic vallecula corresponding position setting, if laryngoscope
The first sensing device is then triggered into throat then judges that laryngoscope reaches setting position；Throat corresponding position is received to set by bracket
There is the detection data of the second sensing device of induction laryngoscope angle, judges on laryngoscope if laryngoscope above mentions the second sensing device of triggering
Mention set angle；In the simulation laryngoscope merging, the corresponding position of tooth is provided with the testing number of third sensing device in reception
According to if laryngoscope squeezes upper tooth, triggering third sensing device judges laryngoscope faulty operation, carries out miscue.
6. airway management training method according to claim 1, which is characterized in that in the simulation conduit merging, receive
Whether the detection data for the tracheae sensing device being arranged in the tracheae of model person, induction emulation tracheal catheter reach tracheae；It receives
The detection data of the oesophagus sensing device of the oesophagus setting of model person, if detecting, emulation tracheal catheter triggers oesophagus induction dress
It sets, judges to be intubated mistake, carry out miscue；The bronchus for being received in model person is provided with the detection of bronchus sensing device
Data judge to be intubated too deep, give and mention if emulation tracheal catheter insertion bronchus triggers the bronchus sensing device
Show.
7. according to claim 1 to airway management training method described in 6 any one, which is characterized in that the confirmation conduit
In position, receive true to 5 right upper lung of virtual patient, bottom right lung, upper left lung, lower-left lung, stomach region auscultation operational orders
Recognize catheter position, right upper lung, bottom right lung, upper left lung, lower-left lung region voiceless sound if emulation tracheal catheter inserts oesophagus, stomach
There is sound in portion region；Upper left lung, lower-left lung have sound if emulation tracheal catheter inserts left bronchus, right upper lung, bottom right lung,
Stomach region voiceless sound；There is sound in right upper lung, bottom right lung region if emulation tracheal catheter inserts right bronchus, upper left lung,
Lower-left lung, stomach region voiceless sound；Judged after the completion of auscultation, if misjudgment gives prompt.
8. according to claim 1 to airway management training method described in 6 any one, which is characterized in that the fixed catheter
In receive in dragging adhesive plaster on screen to virtual patient face, control shows different immobilization with adhesive tape methods, if selection is correct solid
Determine method, receive determine instruction, completes immobilization with adhesive tape；Miscue is carried out if selecting mistake.
9. according to claim 1 to airway management training method described in 6 any one, which is characterized in that further include: teaching mould
Formula: successively display operation step: case selection, informed consent and preoperative evaluation, air flue assessment, article selection prepare, position pendulum
It puts, oxygen supply of pressurizeing, the merging of simulation laryngoscope, the merging of simulation conduit, simulate and place bite-block, sleeve bag gas-filling, confirmation catheter position, fixation
Conduit, and active voice error correction, knowledge point prompting are provided；
Further include: examination pattern: recording operational circumstances without any prompting, and on backstage, and provide after operation scoring and
Erroneous point, and specific mistake is pointed out according to case.
10. a kind of airway management training system, which is characterized in that including main control device, the display communicated with the main control device
Device, the simulation people communicated with the main control device and emulation instrument, the emulation instrument include: emulate syringe, air bag,
Tracheal catheter, Bag-valve mask+, emulation laryngoscope are emulated, is provided with magnetic part on the eyeglass of the emulation laryngoscope；The simulation people's
Barometer is provided in tracheae, the model person is provided with inductor in throat corresponding position, is provided in tracheae corresponding position
Sensing device；
The main control device includes: training mode module, and institute's training mode module includes:
Case selection unit: receiving case selection instruction, and control display case receives confirmation instruction, into the first scene；
Informed consent and preoperative evaluation unit: control playing animation prompts to check patient information and informed consent form as required；
Air flue assessment unit: patient is mentioned in prompt to be assessed,
Article selects preparatory unit: entering the second scene, prompts to carry out article selection, receive article selection, judges that article selects
It is whether correct, if article selection is completed, prompt to carry out article inspection；
Position support unit: receiving operating bed instruction, controls screen switching to operating bed and shows visual angle, receives the neck of model person
The inductor detection model department of human head and neck angle value of setting changes, if detecting, incidence angle value reaches correct position, controls
System display faces upward head and opens air flue animation；
Pressurize oxygen supply unit: detection air bag ventilates to model person, receives model person tracheae corresponding position and is provided with barometer detection
The data of ventilatory capacity, ventilatory frequency, control display device show ventilation animation in scene and show the ventilatory capacity detected, lead to
Gas frequency,
Simulate laryngoscope and be placed in unit: prompt laryngoscope operation receives the testing number of the inductor of model person throat corresponding position setting
According to, detection emulation laryngoscope whether reach correct position, whether on mention up to correct angle,
Simulation conduit is placed in unit: receiving the detection data of the sensing device of the tracheae corresponding position setting of model person, detection is imitative
Whether true tracheal catheter reaches correct position, whether emulation tracheal catheter is correctly inserted into tracheae, whether emulation tracheal catheter reaches
Set depth；
Bite-block unit is placed in simulation: being detected that conduit is inserted into tracheae setting position, bite-block dragging instruction is received, if detecting tooth
In pad dragging virtual patient mouth, then controls and play bite-block merging animation；
Sleeve bag gas-filling unit: prompt carries out gas injection in emulation cuff for endotracheal catheter gas injection end using emulation syringe, shows gas injection
Amount receives determine instruction, completes gas injection operation；
Confirm catheter position unit: prompt is ventilated using Bag-valve mask+ alignment emulation tracheal catheter, is received auscultation instruction and is listened
It examines, receives and 5 right upper lung of virtual patient, bottom right lung, upper left lung, lower-left lung, stomach region auscultation operational order confirmations are led
Pipe position judges that simulating conduit sets if there are sound, stomach voiceless sound in four right upper lung, bottom right lung, upper left lung, lower-left lung positions
It is correct to enter position, receives determine instruction and is connected to
Fixed catheter unit: control enters fixed catheter operation interface, receives instruction simulation conduit and fixes.
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| CN201810793369.0A CN109003497A (en) | 2018-07-19 | 2018-07-19 | airway management training method and system |
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