“Sucking the trouble” out of troubleshooting wound vacs: Video based curriculum development and implementation in a live tissue model

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-02-11 DOI:10.1016/j.amjsurg.2025.116244

M.K. Lonneman, L. Pumiglia, B. Zhang, A.A. Edinger, J. Dejong, O.O. Akinmoladun, J.C. Van Eaton, A. Kelly, K. Dolezal, A. Enzerink, J.J. Glaser, J.R. Bingham, J. Oliver

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引用次数: 0

Abstract

We hypothesized that non-surgeon, Negative Pressure Wound Therapy (NPWT) naïve participants would better identify device functions and troubleshoot failures after being exposed to a video curriculum (VC) compared to similar participants exposed to clinical practice guidelines (CPGs). VC and critical action step development was followed by randomization of 115 non-surgical, NPWT naïve participants into either the CPG or VC study groups. Participants individually identified components of the NPWT system and then worked as a team to troubleshoot three scenarios on an in vivo porcine model. VC participants better identified all NPWT components and functions (p < 0.001), demonstrated correct cannister attachment (p < 0.001) and performed a seal check (p < 0.001). VC teams performed more critical action steps in the leak (p = 0.011) and obstruction (p = 0.001) scenarios. In post-event surveys, participants were more likely to find the VC easy to use and informative and were likely to recommend the videos to a colleague (p = 0.008, p = 0.019, p = 0.02). VC participants demonstrated improved competency in individual NPWT component identification and team-based troubleshooting of NPWT failures. This VC represents an effective alternative to existing CPGs.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.