麻醉训练中的模拟教学：布比卡因诱发心跳骤停成功复苏的一例报道与近期模拟训练的联系

模拟训练正迅速成为麻醉住院医师培训教程中不可或缺的内容。我们报道1例用静脉注射脂肪乳剂成功复苏布比卡因引起的心跳骤停。此病例报告者近期已参加过模拟训练，其中就包括与此病例几乎相同的情节。事后确定，先前的训练影响着下列步骤的执行：迅速发现问题，在高级心脏生命支持的措施下迅速启动特殊治疗以及协调的团队合作。虽然有效复苏和最终恢复的真正原因无法解释，但是此次复苏过程的有效性，包括及时给予脂肪乳剂，证明模拟方法对训练者处理罕见的紧急事件是有用的。

Simulation training is rapidly becoming an integral element of the education curriculum of anesthesia residency programs. We report a case of successful resuscitation of bupivacaine-induced cardiac arrest treated with IV lipid emulsion by providers who had recently partidpated in simulation training involving a scenario nearly identical to this case. Upon debriefing, it was determined that the previous training influenced execution of the following steps： rapid problem recognition, prompt initiation of specific therapy in the setting of supportive advanced cardiac life support measures, and coordinated team efforts. Although the true cause of efficient resuscitation and ultimate recovery cannot be proven, the effidency of the resuscitation process, including timely administration of lipid emulsion, is evidence that simulation may be useful for training providers to manage rare emergendes.