RESUMO
BACKGROUND AND OBJECTIVES: The acquisition of technical skills for the novice learner presents challenges for students and teachers alike. With the introduction of ultrasound techniques in regional anesthesia, there has been interest from residents, fellows, and staff to acquire the skills necessary to incorporate this technology into their everyday practice. However, as both ultrasound machines and commercial target models are inherently costly, there are often issues of accessibility that may affect the opportunity to learn the desired skills. METHODS: Readily available extra-firm tofu, wood dowel, and electrical wire are easily composed to create models for learning ultrasound-guided needle manipulation. RESULTS: Wood and wire targets embedded in tofu present hypo- and hyper-echoic targets that allow the learner to appreciate the relationship between the two-dimensional ultrasound screen image and three-dimensional target planes. CONCLUSIONS: This report presents an inexpensive, variable complexity model for learning ultrasound-guided needle-to-target localization.
Assuntos
Anestesia por Condução/métodos , Anestesiologia/educação , Nervos Periféricos/diagnóstico por imagem , Humanos , Agulhas , UltrassonografiaRESUMO
Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mechanism of injury allows for classification so that a treatment protocol can be formulated for each injury pattern. Emphasis on careful consideration of the implications of open reduction, rational splinting, and early, active, protected motion provides for the most favorable outcome.