心血管手术麻醉住培教学的实践与思考

Practice and Thinking on Teaching of Anesthesia Standardized Training in Cardiovascular Surgery

心血管手术的麻醉既要求深厚的理论基础,又强调丰富的实践经验与广泛的应用能力,同时,它也是一个极具风险的临床技术领域,麻醉管理的关注点与非心脏手术明显不同,麻醉相关操作较普通麻醉复杂,在麻醉学领域中占有特殊位置。中国医学科学院阜外医院深圳医院是全国心血管专科三甲医院,隶属于国家心血管中心,也是香港大学深圳医院住院医师规范化培训的教学协同基地,负责对住培医生进行为期两个月的心血管麻醉培训与带教。住培医生对心血管手术麻醉接触少,理论知识与临床经验均缺乏,帮助住培医生在2个月的学习时间内熟悉心血管麻醉理论、流程,提升实践操作水平是具有挑战性的,同时也对住培带教提出了更高的要求。文章将近年来在心血管麻醉专业和临床工作中的带教体会进行分析,对教学模式,食道超声技能培训、微信平台教学等方面进行总结,并对心血管专科培训进行展望,促进住培医生心血管麻醉综合能力的提升,进一步促进心血管麻醉的发展和进步。

Anesthesia for cardiovascular surgery not only requires a deep theoretical foundation,but also emphasizes rich practical experience and a wide range of application capabilities.At the same time,it is also a very risky clinical technology field.The focus of anesthesia management is significantly different from that of non-cardiac surgery,and anesthesia related operations are more complex than ordinary anesthesia,occupying a special position in the field of anesthesiology.Fuwai Hospital Chinese Academy of Medical Sciences,Shenzhen is a national grade A cardiovascular hospital,affiliated to the National Cardiovascular Center,and also a teaching collaboration base for standardized training of residents the University of Hong Kong-Shenzhen Hospital.It is responsible for conducting cardiovascular anesthesia training for residents for two months.Resident doctors have limited exposure to cardiovascular surgery anesthesia and lack theoretical knowledge and clinical experience.Helping resident doctors familiarize themselves with cardiovascular anesthesia theory and procedures within two months of learning is challenging,and it also puts forward higher requirements for resident training and teaching.This paper analyzes the teaching experience in cardiovascular anesthesia and clinical work in recent years,summarizes the teaching mode,esophageal ultrasound skill training,WeChat platform teaching and other aspects,and makes prospects for cardiovascular specialty training,promoting the improvement of the comprehensive ability of resident physicians in cardiovascular anesthesia,and further promoting the development and progress of cardiovascular anesthesia.