SIM Life: a new surgical simulation device using a human perfused cadaver

Faure, Jean‐Pierre; Brèque, Cyril; Danion, Jean-Marie; Delpech, P.; Oriot, D.; Richer, Jean‐Pierre

doi:10.1007/s00276-016-1715-9

Cited by 29 publications

(26 citation statements)

References 15 publications

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“…Simulation with three-dimensional (3D) print models may prove to be a major advantage in congenital cardiac surgery simulation, where trainees are not likely to see all of the extensive variations in the anatomy of congenital heart disease during training ( While cadaveric simulation curriculums have most commonly been incorporated into training in the neurosurgical, general surgical, orthopedic surgical, and trauma surgical specialties, interest in cadaveric simulation for application in teaching basic core surgical skills, common operative procedures, and advanced skills and operative procedures in cardiothoracic surgery as an adjunct to traditional operative training is becoming more prominent (Fig. 2) (Aboud et al, 2011;Inboriboon and Lumlertgul, 2013;Sharma et al, 2013;Massey et al, 2014;Bouma et al, 2015Bouma et al, , 2017Carey et al, 2015;Greene et al, 2015;Mavroudis et al, 2015;Chen et al, 2016;Delpech et al, 2017;Faure et al, 2017;Karras et al, 2017;McLeod et al, 2017;Nesbitt et al, 2018a, b;Sarkar et al, 2018). Cadaveric models provide greater anatomical authenticity, which may be more advantageous for simulation of complex procedures that require greater anatomic accuracy for more advanced learners, full procedural simulations, anatomic dissection, and experience in less familiar surgical exposures (Kuhls et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…In addition to its structural fidelity, modifications to the cadaver model can enhance its physiologic realism, including simulated beating heart, valve motion, circulation, and ventilation ( Fig. 3) (Bouma et al, 2015(Bouma et al, , 2017Carey et al, 2015;Greene et al, 2015;Delpech et al, 2017;Faure et al, 2017;Karras et al, 2017, McLeod et al, 2017. Faure and colleagues created an enhanced cadaveric model that is perfused, pulsatile, and ventilated; a controlled perfusion device is capable of adjusting the flow rate and ventilation frequency via manual adjustment to provide an adaptive response consistent with the simulated clinical situation (Delpech et al, 2017;Faure et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

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Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

Robinson

Piekut

Hasman

et al. 2019

Anatomical Sciences Ed

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Simulation training has become increasingly relevant in the educational curriculum of surgical trainees. The types of simulation models used, goals of simulation training, and an objective assessment of its utility and effectiveness are highly variable. The role and effectiveness of cadaveric simulation in cardiothoracic surgical training has not been well established. The objective of this study was to evaluate the current medical literature available on the utility and the effectiveness of cadaveric simulation in cardiothoracic surgical residency training. A literature search was performed using PubMed, Cochrane Library, Embase, Scopus, and CINAHL from inception to February 2019. Of the 362 citations obtained, 23 articles were identified and retrieved for full review, yielding ten eligible articles that were included for analysis. One additional study was identified and included in the analysis. Extraction of data from the selected articles was performed using predetermined data fields, including study design, study participants, simulation task, performance metrics, and costs. Most of these studies were only descriptive of a cadaveric or perfused cadaveric simulation model that could be used to augment clinical operative training in cardiothoracic surgery. There is a paucity of evidence in the literature that specifically evaluates the utility and the efficacy of cadavers in cardiothoracic surgery training. Of the few studies that have been published in the literature, cadaveric simulation does seem to have a role in cardiothoracic surgery training beyond simply learning basic skills. Additional research in this area is needed. Anat Sci Educ 13: 406-418.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

Robinson

Piekut

Hasman

et al. 2019

Anatomical Sciences Ed

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“…There is no reason for virtual and additive manufacturing technologies to compete with cadaveric simulation, considering that a combination of the two can open new horizons of surgical training and pre-operative preparation. Other emerging technologies will also allow for the accurate recreation of breathing movements and circulation [28,29], the lack of which was mentioned in one of the reviews as a shortcoming of cadaveric simulation.…”

Section: Discussionmentioning

confidence: 99%

Cadaveric simulation: a review of reviews

et al. 2017

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Background Traditional surgical training, largely based on the Halstedian model Bsee one, do one, teach one^is not as effective in the era of working time restrictions and elaborate shiftpatterns. As a result, contemporary surgeons turned to educational methods outside the operating theatre such as simulation. Cadavers are high fidelity models but their use has ethical and cost implications and their availability may be limited. In this review, we explore the role of cadaveric simulation in modern surgical education. Methods All the Evidence-Based Medicine databases were searched for relevant reviews. The resulting studies were assessed for inclusion to this review, according to predetermined criteria. Data extraction was performed using a custom-made spreadsheet, and the quality of included reviews was assessed using a validated scoring system (AMSTAR). Results The literature review yielded 33 systematic reviews; five of which matched the inclusion criteria and were included in this review of reviews. Cadaveric simulation was found to have good face (subjective assessment of usefulness) and content validity (whether a specific element adds or retracts to the educational value) while trainees improved their surgical skills after practicing on cadavers. However, concerns have been raised about ethical issues, high cost and availability. Conclusion Cadavers are an effective medium for surgical teaching, and it may be appropriate for them to be used whenever surrounding conditions such cost and availability allow. Further research is required to provide evidence on whether there is equivalence between cadavers and other educational media which may not bear the same shortcomings.

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“…Advanced imaging techniques (eg, Single‐Photon Emission Computed Tomography, SPECT) are being used recently to carry out experimental measurements, although their performance is limited because they cannot clearly identify the airway level at which particles are deposited. Another experimental solution can be the use of cadavers or laboratory models of lungs 13 . The problem with these methods is that an expensive equipment is usually required in order to visualize the particles and additionally, tests must be performed sequentially.…”

Section: Introductionmentioning

confidence: 99%

In silico prototype of a human lung with a single airway to predict particle deposition

Tena

Perotti

Marigorta

et al. 2020

Numer Methods Biomed Eng

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Background Experimental analyses of the flow of drug particles inside the human lung usually require that the patient be exposed to radiation and also of expensive equipment that often lack of enough accuracy. Numerical calculations based on CFD (computational fluid dynamics) have been proven to be a valuable tool to analyze flows in diverse applications. Methods The complexity of the human lung disallows running calculations on complete lung models due to the large number of cells that would be required. In this work, using a proprietary methodology, particle deposition in the lung is simulated by reducing its multiple branches to a single path. Results The tested flow rates were 18, 30, and 75 L min−1, which are equivalent to different respiratory rates varying from light activity to heavy exercise. Most of the particles are accumulated in the upper airways, mainly at the mouth and also at the confluence of the larynx and the trachea (epiglottis), while the remaining particles travel across the lung. The reported procedure allowed simulating the operation of the entire lung by means of a single individual path. Conclusions The obtained calculations are in good agreement with the experimental results found in the technical literature, thus showing that the model can provide a realistic description of the lung operation, while avoiding high computational costs. Moreover, the calculations suggest that particle sizes above 15 μm and inspiratory flows higher than 30 L min−1 must be avoided in order to allow drug particles to reach the lower airways.

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SIM Life: a new surgical simulation device using a human perfused cadaver

Cited by 29 publications

References 15 publications

Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

Cadaveric simulation: a review of reviews

In silico prototype of a human lung with a single airway to predict particle deposition

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