Impact of novel off-pump coronary artery bypass simulator on the surgical training

Ito, Joji; Shimamoto, Takeshi; Sakaguchi, Genichi; Komiya, Tatsuhiko

doi:10.1007/s11748-013-0211-y

Cited by 16 publications

(16 citation statements)

References 3 publications

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“…The 16 studies were published between 2008 and 2017 in peer reviewed journals [12,14,[44][45][46][47][48][49][50][51][52][53][54][55][56][57]. However, no study was published in medical education periodicals.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Simulation-Based Skill Training for Trainees in Cardiac Surgery: A Systematic Review

Ribeiro

Ngu

Lam

et al. 2018

The Annals of Thoracic Surgery

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Of 16 studies that met the criteria, only four (25%) randomized controlled trials were identified, and the remaining were observational studies. Seven observational studies (43.7%) were single-group pre-post tests. The mean number of trainees was 20.4 (SD, 14.1). Low-fidelity simulators were used in 13 studies (81.2%). Most of the studies (81.3%) were high quality based on a Medical Education Research Study Quality Instrument score of 12 or more. Evidence of assessment tool validation was absent among all studies. No study outcome measures were directed to skills transfer to the operating room or patient outcomes. Overall learning outcomes' effect sizes were consistently high (2.2; SD, 1.6), with junior residents benefitting most (effect size, 2.8; SD, 2.2) CONCLUSIONS: Simulation-based skill training is associated with improved learning outcomes for cardiac surgery trainees with large effect sizes, but more behavior-level outcomes are required to fully assess its value.

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Section: Study Characteristicsmentioning

confidence: 99%

“…All studies were in English. Eleven studies (68.7%) were from North America training programs [12, 14, 45-47, 50, 51, 53-56], three (18.7%) were from Asia [48,49,57]. and one each (6.2%) was from Europe [44] and South America [52].…”

Section: Study Characteristicsmentioning

confidence: 99%

Simulation-Based Skill Training for Trainees in Cardiac Surgery: A Systematic Review

Ribeiro

Ngu

Lam

et al. 2018

The Annals of Thoracic Surgery

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“…Encouraged by the experience of other authors [ 14 - 19 ] with the use of simulators keeping desktop pulsing to mimic the "off pump" surgery, we built a pulsatile simulator at the Alpha Center for Health Skills in order to train coronary anastomosis surgery as well as other intra- and extra-cardiac techniques that compromise the right side of the heart structures while keeping a rhythmic heartbeat.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Surgery Residency Program: Training Coronary Anastomosis Using the Arroyo Simulator and UNIFESP Models

Maluf¹,

Massarico²,

Nova³

et al. 2015

Revista Brasileira De Cirurgia Cardiovascular

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OBJECTIVE Engage the UNIFESP Cardiovascular Surgery residents in coronary anastomosis, assess their skills and certify results, using the Arroyo Anastomosis Simulator and UNIFESP surgical models.METHODS First to 6th year residents attended a weekly program of technical training in coronary anastomosis, using 4 simulation models: 1. Arroyo simulator; 2. Dummy with a plastic heart; 3. Dummy with a bovine heart; and 4. Dummy with a beating pig heart. The assessment test was comprised of 10 items, using a scale from 1 to 5 points in each of them, creating a global score of 50 points maximum.RESULTS The technical performance of the candidate showed improvement in all items, especially manual skill and technical progress, critical sense of the work performed, confidence in the procedure and reduction of the time needed to perform the anastomosis after 12 weeks practice. In response to the multiplicity of factors that currently influence the cardiovascular surgeon training, there have been combined efforts to reform the practices of surgical medical training.CONCLUSION 1 - The four models of simulators offer a considerable contribution to the field of cardiovascular surgery, improving the skill and dexterity of the surgeon in training. 2 - Residents have shown interest in training and cooperate in the development of innovative procedures for surgical medical training in the art.

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“…Although residents must be adequately taught how to safely perform off-pump CABG, there is no clear international teaching program for residents to learn off-pump CABG. Training simulators that mimic the beating heart have been developed for practicing 36) . Cardiac surgical faculties also recognize the importance of off-pump CABG training, and plan to construct a formal…”

Section: Education and Training In Off-pump Coronary Artery Bypass Grmentioning

confidence: 99%

Off-pump Coronary Artery Bypass Grafting as a Standard Surgical Revascularization Strategy

et al. 2016

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─ 231 ─ (CABG 3.8% vs. PCI 9.7% ; p < 0.0001) and repeat revascularization (CABG 13.7% vs. PCI 25.9% ; p < 0.0001) were significantly lower with CABG than PCI. A recent, randomized, non-inferiority trial compared second-generation drug-eluting stents using everolimus with CABG in patients with multivessel disease 9). At 2 years, the primary endpoint (composite of death, myocardial infarction, or target vessel revascularization) had occurred in 11.0% of PCI patients and in 7.9% of CABG patients (absolute risk difference 3.1 percentage points ; 95% confidence interval [CI]-0.8-6.9 ; p = 0.32 for noninferiority). However, at longer-term follow-up (median 4.6 years), the primary endpoint had occurred in 15.3% of the PCI group and in 10.6% of the CABG group (hazard ratio (HR) 1.47 ; 95% CI 1.01-2.13 ; p = 0.04). The rates of spontaneous myocardial infarction and new-lesion revascularization were greater with PCI than with CABG-differences that emerged early and continued to increase throughout the follow-up period. Another study using New York registry data compared shortand long-term outcomes with the propensity-score matching method between PCI with everolimus-eluting stents and CABG in patients with multivessel coronary disease 10). At a mean follow-up of 2.9 years, PCI compared with CABG was associated with a similar risk of death (PCI 3.1% per year, CABG 2.9% per year ; HR 1.04 ; 95% CI 0.93-1.17 ; p = 0.50), significantly higher risk of myocardial infarction (PCI 1.9% per year, CABG

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Impact of novel off-pump coronary artery bypass simulator on the surgical training

Abstract: The novel simulator is effective for cardiovascular trainees.

Cited by 16 publications

References 3 publications

Simulation-Based Skill Training for Trainees in Cardiac Surgery: A Systematic Review

Simulation-Based Skill Training for Trainees in Cardiac Surgery: A Systematic Review

Cardiovascular Surgery Residency Program: Training Coronary Anastomosis Using the Arroyo Simulator and UNIFESP Models

Off-pump Coronary Artery Bypass Grafting as a Standard Surgical Revascularization Strategy

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