Introducing a realistic and reusable quinsy simulator

Giblett, Neil; Hari, C

doi:10.1017/s0022215115003163

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…Third, the procedure requires a combination of skills that are often unfamiliar to the fledgling otolaryngologist—use of a headlamp, proper positioning, identification of the anatomy of the oropharynx, adequate analgesia, bimanual dexterity, and in particular single‐handed aspiration of the abscess. Various simulation models have been developed for procedures within otolaryngology, 7 including some peritonsillar abscess models 14‐16 . However, our model is the first to our knowledge that has been validated in this way and is easily reproducible.…”

Section: Discussionmentioning

confidence: 99%

“No drain, no gain”: Validation of novel quinsy simulation model

Bhalla

O’Byrne

Beegun

et al. 2020

Laryngoscope Investig Oto

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Objectives To test a novel, low‐cost, home‐made model for needle aspiration of PTA. To ascertain whether simulation‐based teaching using this model was superior to lecture‐based teaching in increasing confidence and reducing anxiety relating to PTA aspiration. To assess whether there was an improvement in outcomes for PTA patients at one hospital following the delivery of a simulation‐based training session using our model. Methods We designed two teaching sessions for junior doctors starting work in ENT: a simulation‐based teaching session using a low‐cost home‐made simulation model and a lecture‐based teaching session covering the same content. We asked the participants to complete pre‐ and post‐session surveys regarding confidence and anxiety levels and analyzed this data. We also retrospectively collected data over 3 months for patients referred to ENT with suspected PTA and assessed their outcomes. We assessed patient outcomes before and after the delivery of a simulation‐based training course using our model. Results Simulation‐based teaching using our model was shown to be associated with a statistically significant increase in junior doctors' confidence levels. Reaccumulation and reattendance rates for PTA following aspiration were 16.67% and 22.7% respectively preintervention and 0% and 7.14% respectively postintervention. Conclusion A regular simulation‐based teaching session should be introduced using a PTA aspiration model for junior doctors as it leads to increased confidence levels, and reduced reaccumulation and recurrence rates of PTA. Level of evidence Level 4.

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Section: Discussionmentioning

confidence: 99%

“No drain, no gain”: Validation of novel quinsy simulation model

Bhalla

O’Byrne

Beegun

et al. 2020

Laryngoscope Investig Oto

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“…Other models have been developed for ligation of vessels during tonsillectomy [82][83][84][85], drainage of peritonsillar abscess [86][87][88][89] and facial local flap reconstruction [90][91][92].…”

Section: Airway and Throat Simulatorsmentioning

confidence: 99%

Creating a Validated Simulation Training Curriculum in Otolaryngology

Bhalla

Tolley

Awad

2020

Curr Otorhinolaryngol Rep

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Purpose of Review Simulation-based training is an integral component of surgical training. It allows practice of technical skills within a safe environment without compromising patient safety. This article seeks to review current virtual and non-virtual reality simulation models within the literature and review their validation status. Recent Findings Many simulation models exist within otolaryngology and are currently being used for education. New models are also continuously being developed; however, validity should be proven for the models before incorporating their use for educational purposes. Validity should be determined by experts and trainees themselves. Summary A validated simulation curriculum should be incorporated within the otolaryngology training programme. A curriculum based on the current training programme at our institution serves as an exemplar for local adoption.

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“…Thus, simulating PTA needle aspirations with a realistic model that allows for ultrasound image acquisition and procedural competence can build confidence and proficiency prior to performing this procedure in patient care. While several low-fidelity PTA task trainers have been previously described, 6 – 9 none allow for ultrasound-guided diagnosis and management, which is the preferred strategy in the ED setting for patient safety and comfort, and all have limitations ranging from ease and stability of construction to anatomic fidelity.…”

Section: Introductionmentioning

confidence: 99%

“…While several low-fidelity PTA task trainers have been previously described, none allow for ultrasound image acquisition. 6 – 9 We sought to create a cost-effective and realistic task trainer that allows trainees to acquire both diagnostic ultrasound and needle aspiration skills while draining a peritonsillar abscess.…”

mentioning

confidence: 99%

Development of a Novel Ultrasound-guided Peritonsillar Abscess Model for Simulation Training

Plitt

Biffar

2018

WestJEM

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IntroductionPeritonsillar abscess (PTA) is the most common deep space infection of the head and neck presenting to emergency departments.1 No commercial PTA task trainer exists for simulation training. Thus, resident physicians often perform their first PTA needle aspiration in the clinical setting, knowing that carotid artery puncture and hemorrhage are serious and devastating complications. While several low-fidelity PTA task trainers have been previously described, none allow for ultrasound image acquisition.6–9 We sought to create a cost-effective and realistic task trainer that allows trainees to acquire both diagnostic ultrasound and needle aspiration skills while draining a peritonsillar abscess.MethodsWe built the task trainer with low-cost, replaceable, and easily cleanable materials. A damaged airway headskin was repurposed to build the model. A mesh wire cylinder attached to a wooden base was fashioned to provide infrastructure. PTAs were simulated with a water and lotion solution inside a water balloon that was glued to the bottom of a paper cup. The balloon was fully submerged with ordnance gelatin to facilitate ultrasound image acquisition, and an asymmetric soft palate and deviated uvula were painted on top after setting. PTA cups were replaced after use. We spent eight hours constructing three task trainers and used 50 PTA cups for a total cost <$110.ResultsForty-six emergency medicine (EM) residents performed PTA needle aspirations using the task trainers and were asked to rate ultrasound image realism, task trainer realism, and trainer ease of use on a five-point visual analog scale, with five being very realistic and easy. Sixteen of 46 (35%) residents completed the survey and reported that ultrasound images were representative of real PTAs (mean 3.41). They found the model realistic (mean 3.73) and easy to use (mean 4.08). Residents rated their comfort with the drainage procedure as 2.07 before and 3.64 after practicing on the trainer.ConclusionThis low-cost, easy-to-construct simulator allows for ultrasound image acquisition while performing PTA needle aspirations and is the first reported of its kind. Educators from EM and otolaryngology can use this model to educate inexperienced trainees, thus ultimately improving patient safety in the clinical setting.

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Introducing a realistic and reusable quinsy simulator

Abstract: The model provides safe training for the drainage of quinsy.

Cited by 7 publications

References 5 publications

“No drain, no gain”: Validation of novel quinsy simulation model

“No drain, no gain”: Validation of novel quinsy simulation model

Creating a Validated Simulation Training Curriculum in Otolaryngology

Development of a Novel Ultrasound-guided Peritonsillar Abscess Model for Simulation Training

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