2019
DOI: 10.1002/alr.22319
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Costs and training results of an objectively validated cadaveric perfusion‐based internal carotid artery injury simulation during endoscopic skull base surgery

Abstract: Background: Internal carotid artery injury (ICAI) is a rare, life-threatening complication of endoscopic endonasal approaches (EEAs). High-fidelity simulation methods exist, but optimization of the training cohort, training paradigm, and costs of simulation training remain unknown.Methods: Using our previously validated, high-fidelity, perfused-cadaver model, participants a empted to manage a simulated ICAI. A er a brief instructional video and coaching, the simulation was repeated. Training success was define… Show more

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Cited by 22 publications
(36 citation statements)
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“…Videos in the simulated environment can complement surgical video datasets that otherwise depict thousands of uncomplicated cases and only a few rare events. 14,15,17,18,[62][63][64][65] As more surgical video datasets are developed, we can follow the 'sim-to-real' process where models are trained on virtual data and then fine-tuned and validated in the real environment. [66][67][68] Limitations:…”
Section: Socalnet Performance Compared To Expertsmentioning
confidence: 99%
See 1 more Smart Citation
“…Videos in the simulated environment can complement surgical video datasets that otherwise depict thousands of uncomplicated cases and only a few rare events. 14,15,17,18,[62][63][64][65] As more surgical video datasets are developed, we can follow the 'sim-to-real' process where models are trained on virtual data and then fine-tuned and validated in the real environment. [66][67][68] Limitations:…”
Section: Socalnet Performance Compared To Expertsmentioning
confidence: 99%
“…We created SOCAL (Simulated Outcomes following Carotid Artery Laceration), a video dataset of attending and resident surgeons (otorhinolaryngologists and neurosurgeons) controlling life-threatening internal carotid artery injury (ICAI) in a validated, high-fidelity bleeding cadaveric simulator. [14][15][16][17][18] Carotid injury is a catastrophic complication of endonasal surgery and results in up to 30% mortality, similar to vascular injuries during minimally-invasive abdominal and thoracic surgery. 5,19,20 In prior work, we applied artificial intelligence (AI) methods to SOCAL video and developed tools that quantify blood loss and measure surgeon performance metrics from video.…”
Section: Introductionmentioning
confidence: 99%
“…17,20 Compared to cadaveric simulations, VR systems do not fully recreate the operative environment. [44][45][46] Whether this obstacle can be overcome or is an inherent limitation to reconstructed fields is unknown.…”
Section: Comparison Of Vr Platformsmentioning
confidence: 99%
“…From baseline to post‐training, control of the ICA injury improved from 56% to 90% ( p < 0.001) and time to hemostasis decreased by 38% ( p < 0.001). Tachycardia (> 100 beats per min (BPM)) was measured in 57% of participating surgeons, with extreme tachycardia (> 120 BPM) measured in 22% of participants, suggestive of simulation of intraoperative stress 23 …”
Section: Modern Concepts In Skull Base Trainingmentioning
confidence: 99%