Simulators for Laryngeal and Airway Surgery

Burns, James A.; Adkins, Lacey; Dailey, Seth H.; Klein, Adam M.

doi:10.1016/j.otc.2017.05.003

Cited by 18 publications

(7 citation statements)

References 41 publications

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“…Like the Domaoal scale, it is subjective and surgeon-dependent. 16,17 The great difference between groups in terms of surgical conditions is very interesting in our study, where conditions were fairly more difficult in the succinylcholinecisatracurium group despite the fact that TOF provided a result with T0. As a limitation of the study, it should be stated that we did not assess posttetanus NMB, which would probably have provided us with a more accurate idea of the degree of NMB.…”

Section: Discussionmentioning

confidence: 74%

Study of Rocuronium–Sugammadex as an Alternative to Succinylcholine–Cisatracurium in Microlaryngeal Surgery

et al. 2020

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Objectives/Hypothesis Microlaryngeal surgery (ML) is a short procedure that requires a deep neuromuscular blockade to provide optimum surgical conditions. Succinylcholine is a relaxant widely used but involves numerous complications. One valid alternative is rocuronium, with a specific antagonist, sugammadex. The primary objective was to assess the surgical conditions in ML according to the relaxant. The secondary objectives were to assess intubation conditions and intraoperative and immediate postoperative adverse events. Study Design Prospective randomized study. Methods This was a prospective study of patients scheduled for ML randomized into two groups according to relaxant. Neuromuscular blockade was recorded after administration and during ML surgery. Surgical conditions were assessed using the ML Rating Scale, intubation conditions, remifentanil doses, intraoperative complications, surgery time, emergence time, and complications in the postanesthesia care unit. Results Two hundred five patients were included (rocuronium = 103, succinylcholine = 102). Train‐of‐four values were higher for rocuronium, though the otorhinolaryngology surgical conditions were significantly better in that group (rocuronium = 5.54 ± 1.39 points; succinylcholine = 9.13 ± 1.99 points). Intubation conditions were similar in both groups. Remifentanil doses were higher for succinylcholine (P < .001) (rocuronium = 0.102 ± 0.05 μg/kg/min; succinylcholine = 0.201 ± 0.05 μg/kg/min). There were no differences in the duration of surgery, but the time to awakening was significantly longer for succinylcholine (rocuronium = 3.82 ± 1.38 minutes, succinylcholine = 9.18 ± 2.04 minutes, P < .001). Conclusions Rocuronium provides better surgical conditions and allows for the use of lower doses of remifentanil as compared to succinylcholine and cisatracurium in ML. This makes it possible to decrease the time to awakening and the complications associated with high doses of remifentanil. Level of Evidence 1b Laryngoscope, 131:E212–E218, 2021

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Section: Discussionmentioning

confidence: 74%

Study of Rocuronium–Sugammadex as an Alternative to Succinylcholine–Cisatracurium in Microlaryngeal Surgery

et al. 2020

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“…Simulation technology has been applied in many surgical disciplines as an adjunct to clinical training, using a variety of component task trainers, animal tissue-based simulators, and computer-aided simulation models (Friedl et al, 2002;Gallagher et al, 2004;Aggarwal et al, 2006;Chu et al, 2012;Trehan et al, 2014;Liu et al, 2015;Valdis et al, 2015Valdis et al, , 2016Mafeld et al, 2017;Korzeniowski et al, 2018;Ruikar et al, 2018;Patel et al, 2019). Cadaveric simulation has likewise been utilized in several non-thoracic specialties, with varying degrees of sophistication, whole body or component parts, and on occasion in combination with another model (Jackson et al, 2003;Güvençer et al, 2007;Ghanem et al, 2013;Carey et al, 2014;Ahmed et al, 2015;Benet et al, 2015;Egle et al, 2015;Camp et al, 2016;Sharma et al, 2016;Burns et al, 2017;Robinson et al, 2017;Willaert et al, 2018;Yiasemidou et al, 2018;Zada et al, 2018).…”

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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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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“…Tonsillectomy, fine-needle biopsy of the thyroid, myringotomy, nasal endoscopy, and cricothyroidotomy VR simulators have also been developed [62,65].…”

Section: Voxel-manmentioning

confidence: 99%

Virtual and Augmented Reality in Medical Education

Pantelidis¹,

Chorti²,

Papagiouvanni³

et al. 2018

Medical and Surgical Education - Past, Present and Future

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Virtual reality (VR) and augmented reality (AR) are two contemporary simulation models that are currently upgrading medical education. VR provides a 3D and dynamic view of structures and the ability of the user to interact with them. The recent technological advances in haptics, display systems, and motion detection allow the user to have a realistic and interactive experience, enabling VR to be ideal for training in hands-on procedures. Consequently, surgical and other interventional procedures are the main fields of application of VR. AR provides the ability of projecting virtual information and structures over physical objects, thus enhancing or altering the real environment. The integration of AR applications in the understanding of anatomical structures and physiological mechanisms seems to be beneficial. Studies have tried to demonstrate the validity and educational effect of many VR and AR applications, in many different areas, employed via various hardware platforms. Some of them even propose a curriculum that integrates these methods. This chapter provides a brief history of VR and AR in medicine, as well as the principles and standards of their function. Finally, the studies that show the effect of the implementation of these methods in different fields of medical training are summarized and presented.

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Simulators for Laryngeal and Airway Surgery

Cited by 18 publications

References 41 publications

Study of Rocuronium–Sugammadex as an Alternative to Succinylcholine–Cisatracurium in Microlaryngeal Surgery

Study of Rocuronium–Sugammadex as an Alternative to Succinylcholine–Cisatracurium in Microlaryngeal Surgery

Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

Virtual and Augmented Reality in Medical Education

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