Novel Simulation for Training Trauma Surgeons

Aboud, Emad; Krisht, Ali F.; OʼKeeffe, Terence; Nader, Remi; Hassan, Moustafa; Stevens, C. Melinda; Ali, Fahd; Luchette, Fred A.

doi:10.1097/ta.0b013e3182396337

Cited by 42 publications

(45 citation statements)

References 18 publications

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“…The undesirable, excessive leakage of fluid into the abdominal cavity observed at the time of connection of the specimen to the pump, during surrogate blood infusion by gravity flow and during the fixation process in some cases was thought to result from lack of vascular permeability control post mortem. Similar occurrences were not observed in previous studies, although excessive diffuse artificial bleeding leading to an increased level of difficulty during simulated training of selected techniques has been reported (Aboud et al, 2004(Aboud et al, , 2011. More viscous blood mimicking fluids should be tested and may help minimize this effect.…”

Section: Discussionmentioning

confidence: 53%

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Bleeding simulation in embalmed cadavers: bridging the gap between simulation and live surgery

Souza

Matera

2015

ALTEX

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SummaryIn veterinary medicine, surgical education and training require the development of abilities that can be acquired in practical classes using currently available models such as cadaver training. Limited availability of cadavers, undesirable changes in tissue texture and the absence of bleeding are the main disadvantages of cadaver-based training compared to training in live animals. This study proposes a chemical cadaver preservation method aimed at overcoming the aforementioned limitations. Blood circulation could be reproduced in preserved cadavers, thereby enabling satisfactory simulation-based training of several surgical procedures, from incision to suture and including hemostatic techniques. The model in this study introduces a high-fidelity simulation training alternative to prepare students for the practice of surgery. In this manner, surgical interventions would be restricted to surgical cases and healthy animals would not be submitted to surgical procedures exclusively for learning purposes.

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Section: Discussionmentioning

confidence: 53%

“…Combined training of the three fundamental surgical principles in a single model yielded satisfactory results; a sense of reality resembling that of an operating room could be conveyed. Cadaver perfusion systems have been previously employed in humans (Garret, 2001;Aboud et al, 2004Aboud et al, , 2011.…”

Section: Discussionmentioning

confidence: 99%

Bleeding simulation in embalmed cadavers: bridging the gap between simulation and live surgery

Souza

Matera

2015

ALTEX

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“…Although this form of simulation uses dead tissue and thus cannot faithfully emulate all physiological conditions, some cadaveric surgical courses have utilized pressurized systems to perfuse cadaveric tissues with blood. Perfusing cadaveric tissue creates high-fidelity models for vascular, microvascular and trauma surgery (25)(26)(27)(28). Additionally, cadavers have been used for training flap coverage techniques as well as various endoscopic and laparoscopic operations (29,30).…”

Section: Cadaversmentioning

confidence: 99%

Innovations in surgery simulation: a review of past, current and future techniques

Badash¹,

Burtt²,

Solorzano³

et al. 2016

Ann. Transl. Med.

260

165

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As a result of recent work-hours limitations and concerns for patient safety, innovations in extraclinical surgical simulation have become a desired part of residency education. Current simulation models, including cadaveric, animal, bench-top, virtual reality (VR) and robotic simulators are increasingly used in surgical training programs. Advances in telesurgery, three-dimensional (3D) printing, and the incorporation of patient-specific anatomy are paving the way for simulators to become integral components of medical training in the future.Evidence from the literature highlights the benefits of including simulations in surgical training; skills acquired through simulations translate into improvements in operating room performance. Moreover, simulations are rapidly incorporating new medical technologies and offer increasingly high-fidelity recreations of procedures. As a result, both novice and expert surgeons are able to benefit from their use. As dedicated, structured curricula are developed that incorporate simulations into daily resident training, simulated surgeries will strengthen the surgeon's skill set, decrease hospital costs, and improve patient outcomes.

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“…[6][7][8][9][10] To improve trainee education and surgical skills as they pertain to endoscopic skull base surgery, we developed a resident training model to enhance residents' surgical skills and ability to deal with an acute arterial injury to the ICA during endonasal endoscopic approaches, based on a novel perfusion-cadaver model available at the Keck School of Medicine of the University of Southern California (USC).…”

Section: 5mentioning

confidence: 99%

A Perfusion-Based Human Cadaveric Model for Management of Carotid Artery Injury during Endoscopic Endonasal Skull Base Surgery

Pham¹,

Kale²,

Marquez³

et al. 2014

J Neurol Surg B

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Novel Simulation for Training Trauma Surgeons

Cited by 42 publications

References 18 publications

Bleeding simulation in embalmed cadavers: bridging the gap between simulation and live surgery

Bleeding simulation in embalmed cadavers: bridging the gap between simulation and live surgery

Innovations in surgery simulation: a review of past, current and future techniques

A Perfusion-Based Human Cadaveric Model for Management of Carotid Artery Injury during Endoscopic Endonasal Skull Base Surgery

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