Preparing for Cardiopulmonary Bypass: A Simulation Scenario for Anesthesia Providers

Myers, Brett A.; Obr, Clark

doi:10.15766/mep_2374-8265.10578

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…The reasons may be as follows: (1) the price of the defibrillator supplied by the manufacturer is too expensive, and the hospital and the school have limited funds; (2) the defibrillator is equipped with electronic accessories, which need to be charged and quality checked regularly; the defibrillation electrode plate and the charge and discharge management module are scientifically and rigorously designed. Repeated or nonstandard operation can easily lead to defibrillator damage and high maintenance cost [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Development and application of “Special defibrillator for teaching and training”

Xing

Xue-mei

et al. 2022

Eur J Med Res

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Background To provide an economical and practical defibrillator for first aid teaching and training, to reduce the cost of teaching and training, increase teaching and training equipment, provide trainees with more hands-on training sessions, and improve first aid capabilities. Methods Developing a special teaching defibrillator with the same structure and operation configuration as the clinical medical emergency defibrillator. The appearance, structure and operating accessories of the two defibrillators are the same. The difference between the defibrillator and the clinical medical emergency defibrillator are as follows: the clinical medical emergency defibrillator can be energized, and there are expensive electronic accessories and defibrillation accessories for charging and discharging in the machine. When discharging, the electrode plate has current discharged into the human body; the power plug of the “special defibrillator for teaching and training” is a fake plug. When the power is plugged in, no current enters the body and the machine. There are no expensive electronic accessories and defibrillation accessories for charging and discharging, and no current is discharged during discharge. Then compare the teaching effect of the special defibrillator for teaching and training and the clinical medical emergency defibrillator (including operation score and attitude after training). Results The scores of defibrillator operation in the experimental group of junior college students (87.77 ± 4.11 vs. 83.30 ± 4.56, P < 0.001) and the experimental group of undergraduate students (90.40 ± 3.67 vs. 89.12 ± 3.68, P = 0.011) were higher than those in the corresponding control group; The attitude of junior college students in the experimental group and undergraduate students in the experimental group after training was more positive than that of the corresponding control group (P < 0.05). Conclusions The special defibrillator for teaching and training can save the purchase cost of teaching equipment, increase teaching and training resources, and improve the trainee’s defibrillation ability, defibrillation confidence and defibrillation security.

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Section: Discussionmentioning

confidence: 99%

Development and application of “Special defibrillator for teaching and training”

Xing

Xue-mei

et al. 2022

Eur J Med Res

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“…First of all, a group of 3D models reflecting anatomical geometry of CVS or RS can be identified. Recently, physical 3D models, usually 3D-printed models, are the most frequently used to aid surgical and diagnostic procedures (e.g., [9][10][11]) or in medical education and staff training (e.g., [12]); however, some of them are used for research of a chosen phenomenon (e.g., [13]). Here, it should be mentioned a very interesting 3D model of lungs containing living cells, which were infected with real respiratory syncytial viruses [14].…”

Section: Approaches To Cardiovascular and Respiratory Systems Modellingmentioning

confidence: 99%

Virtual and Artificial Cardiorespiratory Patients in Medicine and Biomedical Engineering

et al. 2022

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Recently, ‘medicine in silico’ has been strongly encouraged due to ethical and legal limitations related to animal experiments and investigations conducted on patients. Computer models, particularly the very complex ones (virtual patients—VP), can be used in medical education and biomedical research as well as in clinical applications. Simpler patient-specific models may aid medical procedures. However, computer models are unfit for medical devices testing. Hybrid (i.e., numerical–physical) models do not have this disadvantage. In this review, the chosen approach to the cardiovascular system and/or respiratory system modeling was discussed with particular emphasis given to the hybrid cardiopulmonary simulator (the artificial patient), that was elaborated by the authors. The VP is useful in the education of forced spirometry, investigations of cardiopulmonary interactions (including gas exchange) and its influence on pulmonary resistance during artificial ventilation, and explanation of phenomena observed during thoracentesis. The artificial patient is useful, inter alia, in staff training and education, investigations of cardiorespiratory support and the testing of several medical devices, such as ventricular assist devices and a membrane-based artificial heart.

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“…Cardiopulmonary arrest is a rare event on the ward or in the intensive care unit, but it is even more infrequent in the operating room (OR). Although there are many available team-training simulations that incorporate cardiac arrest scenarios, 1–3 few programs focus specifically on education about the functionality of the defibrillator device. Advanced Cardiovascular Life Support (ACLS) courses offer cardiac resuscitation training to health care providers.…”

Section: Introductionmentioning

confidence: 99%

Identifying and Managing Intraoperative Arrhythmia: A Multidisciplinary Operating Room Team Simulation Case

et al. 2018

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IntroductionResuscitation of a critically ill patient is challenging for both novice learners and experienced health care providers. During a critical event, not only is it important to identify the correct underlying diagnosis, it is equally crucial that the appropriate Advance Cardiac Life Support algorithm, medications, and defibrillator modality are implemented. This scenario features a 56-year-old female who presents for excisional biopsy of an inguinal lymph node to evaluate lymphadenopathy concerning for lymphoma. Intraoperatively, she goes into cardiopulmonary arrest. Participants must identify and manage three different scenarios: (1) ventricular fibrillation, (2) unstable ventricular tachycardia, and (3) bradycardia, including the use of the defibrillator.MethodWeekly simulation sessions were conducted in the in situ simulation operating room at Massachusetts General Hospital. Surgical residents, anesthesiology residents, nurses, and surgical technicians participated in a multidisciplinary operating room team. Each approximately 60-minute session included an orientation, the case, and the debriefing. Equipment included a simulation operating room with general surgery supplies, general anesthesia equipment, a high-fidelity SimMan patient simulator, a code cart, and a defibrillator.ResultsNinety-one multidisciplinary participants completed this scenario from September to December 2015. Participants reported that the scenario was applicable to their clinical practice (96%), promoted teamwork skills (88%), and encouraged interprofessional learning (94%).DiscussionIntraoperative cardiac arrest is a devastating event that can result in poor patient outcomes if the care team is not thoroughly prepared for crisis management. This simulation case scenario was implemented to train multidisciplinary learners in the identification and management of such an event.

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Preparing for Cardiopulmonary Bypass: A Simulation Scenario for Anesthesia Providers

Cited by 4 publications

References 1 publication

Development and application of “Special defibrillator for teaching and training”

Development and application of “Special defibrillator for teaching and training”

Virtual and Artificial Cardiorespiratory Patients in Medicine and Biomedical Engineering

Identifying and Managing Intraoperative Arrhythmia: A Multidisciplinary Operating Room Team Simulation Case

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