Development of a Low-Cost, High-Fidelity, Reusable Model to Simulate Clamshell Thoracotomy.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2023-12-01 Epub Date: 2023-10-24 DOI:10.1177/15533506231208572
Ethan Clifford, Frederick Stourton, Johann Willers, Gianluca Colucci
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引用次数: 0

Abstract

Objective: Clamshell thoracotomy (CST) is an emergency procedure performed during traumatic cardiac arrest. Emergency physicians and surgeons are expected to perform this procedure in the Emergency Department. However, the procedure has a low occurrence rate, therefore physicians are often poorly prepared. Current teaching methods include expensive simulators and anatomically inaccurate animal models. The goal of this study was to design, produce and test, a low-cost, high-fidelity model for the teaching of CST.

Design, setting and participants: The model was produced from inexpensive, commercially available materials as well as ADAMgel; a custom, recyclable, inexpensive tissue analogue. The model was tested across 19 physicians, mostly consultants and senior registrars in emergency medicine, anaesthesia and surgery. Participants completed comparative questionnaires before and after testing the model. The questionnaires were adapted from previous anaesthetic-based simulation studies and used a modified Likert scale to assess prior knowledge, anatomical realism and the teaching benefits of the model.

Results: Participants had varied prior knowledge and experience before testing the model. Results showed that 89.47% (n = 17) of trainees felt the model was a reasonable substitute for practice and 100% (n = 19) agreed that the model was a good training aid for inexperienced trainees and would recommend it to others.

Conclusions: The model proved a successful teaching tool, improving physicians' knowledge and confidence with performing CST. This high fidelity, low cost model demonstrated that a high standard simulation teaching tool can be made which improves teaching of CST.

低成本、高保真度、可重复使用的翻盖式开胸模拟模型的开发。
目的:胸腔镜开胸术(CST)是一种在创伤性心脏骤停期间进行的紧急手术。急诊医生和外科医生应在急诊科进行此手术。然而,这种手术的发生率很低,因此医生往往准备不足。目前的教学方法包括昂贵的模拟器和解剖学上不准确的动物模型。本研究的目标是设计、制作和测试一种低成本、高保真度的CST教学模型。设计、设置和参与者:该模型由廉价的商业材料以及ADAMgel制作;一种定制的、可回收的、廉价的类似纸巾。该模型在19名医生中进行了测试,其中大多数是急诊医学、麻醉和外科的顾问和高级注册医生。参与者在测试模型前后完成了比较问卷。调查问卷改编自以前基于麻醉的模拟研究,并使用改良的Likert量表来评估先验知识、解剖真实性和该模型的教学效益。结果:参与者在测试模型之前有不同的先验知识和经验。结果显示,89.47%(n=17)的学员认为该模式是实践的合理替代品,100%(n=19)的学员同意该模式对缺乏经验的学员来说是一种很好的培训辅助工具,并将其推荐给其他人。结论:该模型被证明是一种成功的教学工具,提高了医生执行CST的知识和信心。该模型逼真度高、成本低,说明可以制作出高标准的模拟教学工具,提高CST的教学质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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