AR351脊椎穿刺模體，Adam，Rouilly脊椎穿刺模體是區(qū)域麻醉模擬人體模型，由曼徹斯特和索爾福德疼痛中心的顧問麻醉師設(shè)計(jì)的，用于培訓(xùn)麻醉師正確放置神經(jīng)塊中的針頭以進(jìn)行疼痛處理。

應(yīng)用于個(gè)體神經(jīng)阻滯的表面解剖知識
圖像的方向和適當(dāng)?shù)纳渚€照相地標(biāo)的識別
針插入的識別點(diǎn)和方向角
識別與深骨結(jié)構(gòu)的接觸
拔針方向改變角度的原理
模擬的終點(diǎn)是正確的射線照相外觀
需要精確的針頭放置以確保許多診斷性疼痛診所的功效，并且在使用神經(jīng)溶解解決方案時(shí)是必不可少的。放射線檢查以確認(rèn)應(yīng)放置針頭應(yīng)作為常規(guī)檢查，為此必須進(jìn)行實(shí)際培訓(xùn)
不熟悉該技術(shù)的受訓(xùn)人員嘗試進(jìn)行區(qū)域麻醉可能會給患者帶來不舒服和長時(shí)間的手術(shù)

AR351脊椎穿刺模體，Adam，Rouilly脊椎穿刺模體可用于訓(xùn)練以下項(xiàng)目：

腰交感神經(jīng)阻滯
內(nèi)臟神經(jīng)阻滯
在所有脊柱水平進(jìn)行硬膜外注射
頸，胸和腰椎小關(guān)節(jié)注射和后原發(fā)性支氣管射頻去神經(jīng)
頸椎小關(guān)節(jié)注射
三叉神經(jīng)節(jié)阻滯或射頻針放置
腹腔神經(jīng)阻滯
胃下神經(jīng)阻滯
關(guān)節(jié)注射

AR351脊椎穿刺模體，Adam，Rouilly脊椎穿刺模體特點(diǎn)：

人體模型由特殊涂層的塑料人體骨骼組成，頭部覆蓋著人造皮膚，軀干覆蓋著織物，受訓(xùn)人員可以在其上練習(xí)在X射線圖像增強(qiáng)器控制下放置針頭
人體模型的X射線密度低，因此減少了模擬程序中使用的輻射劑量














The Regional Anaesthesia Simulation Manikin has been designed by a Consultant Anaesthetist at the Manchester and Salford Pain Centre for training anaesthetists in correct needle placement in Nerve Blocks for pain management.

Knowledge of surface anatomy applied to the individual nerve blocks
Orientation of image and identification of appropriate radiographic landmarks
Identification point of needle insertion and angle of direction
Recognition of contact with deep bony structures
Principle of withdrawing and directing needle to alter the angle
The end point of simulation is the correct radiographic appearance
Accurate needle placement is required to guarantee the efficacy of many diagnostic pain clinic blocks and is mandatory when neurolytic solutions are used. Radiological screening to confirm needle placement should be routine and training for this needs to be practical
Attempts at regional anaesthesia by trainees who are not familiar with the techniques may result in uncomfortable and prolonged procedures for patients

The Manikin can be used to teach the following Nerve Blocks:

Trigeminal ganglion block or radiofrequency needle placement
Cervical facet joint injection
Epidural injections at all spinal levels
Lumbar sympathetic block, splancnic, coeliac and superior hypogastric nerve blocks
Lumbar facet joint injection and radio frequency denervation of posterior primary ramus
Sacroiliac joint injection