Specimen acquisition training with a new biosimulator in endobronchial ultrasound-guided transbronchial needle aspiration

Nakajima, Takahiro; Fujiwara, Taiki; Saegusa, Fumie; Sakairi, Yuichi; Wada, Hironobu; Suzuki, Hidemi; Iwata, Takekazu; Yoshida, Shigetoshi; Nakatani, Yukio; Yoshino, Ichiro

doi:10.1097/md.0000000000006513

Cited by 5 publications

(1 citation statement)

References 18 publications

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“…The pulmonary biosimulator established in the present study was originally inspired by another training simulator for EBUS-guided TBNA (EBUS-TBNA) (17). Because our novel biosimulator comprised porcine lungs with pseudo PPLs, the trainees could learn how to select the target bronchi and insert the bronchoscope and GS under actual clinical conditions involving human lungs with PPLs.…”

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confidence: 99%

A novel biosimulator based on ex vivo porcine lungs for training in peripheral tissue sampling using endobronchial ultrasonography with a guide sheath

Ishiwata¹,

Nakajima²,

Terada³

2019

J. Thorac. Dis.

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Background: Although radial probe endobronchial ultrasonography (EBUS) with a guide sheath (GS; EBUS-GS) is widely used for sampling peripheral pulmonary lesions (PPLs), a standard training model for EBUS-GS remains to be developed. The purpose of this study was to evaluate the feasibility of a novel pulmonary biosimulator for hands-on training in peripheral tissue sampling using EBUS-GS Methods: We established a novel biosimulator for EBUS-GS using porcine lungs. The simulator was equipped with multiple pseudo PPLs that were created using blue agar solution injected through GS inserted in a bronchoscope. A total of 12 voluntary trainees participated in a hands-on training course using the biosimulator. The size of samples acquired using biopsy forceps were compared between initial and posttraining biopsies, and trainee satisfaction with the biosimulator and training program were evaluated using a questionnaire. Results: Under the guidance of a trainer, all trainees successfully detected pseudo PPLs using radial probe EBUS before the initial biopsy, and 11 trainees acquired samples from the target lesions during the initial biopsy. Post-training biopsy samples were larger than the initial samples for eight trainees. The results of the questionnaire revealed that all trainees were satisfied with the biosimulator. Moreover, eight trainees who had previously participated in another hands-on EBUS-GS training program involving a synthetic phantom model showed greater satisfaction for the biosimulator. Conclusions: A hands-on training program using the novel biosimulator assessed in this study could aid clinicians in improving their skills for EBUS-GS and acquiring larger peripheral tissue samples using biopsy forceps inserted through GS.

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Section: (100%)mentioning

confidence: 99%

A novel biosimulator based on ex vivo porcine lungs for training in peripheral tissue sampling using endobronchial ultrasonography with a guide sheath

Ishiwata¹,

Nakajima²,

Terada³

2019

J. Thorac. Dis.

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A novel simulator model and standardized assessment tools for fine needle aspiration cytology training

Alcaraz‐Mateos

Jiang

Mohammed

et al. 2018

Diagnostic Cytopathology

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ObjectivesFine needle aspiration (FNA) is an invaluable diagnostic procedure for evaluation of lesions; however, acquisition of diagnostic material is dependent on the skill of the practitioner. We report a novel patient simulator for teaching the FNA procedure and structured assessment tools for educators and learners.MethodsWe created a novel simulator model for FNA training, employed a standardized teaching module, and assessed procedure utility in medical students. Groups of students completed training using a commercial version of the model, and underwent structured evaluation using an Objective Structured Assessment of Technical Skills (OSATS) form, and the Debriefing Assessment for Simulation in Healthcare (DASH) tool.ResultsIn the initial phase, 178 students rated the training workshop between valuable and essential (4.2 on a 5‐point Likert scale). In the second phase, for students evaluated with the OSATS form, the mean overall score was 33 out of 50 (range 26‐43). The areas of weakness for the participants were: (a) compression after the FNA procedure, (b) completion of the informed consent, and (c) correct explanation of the procedure to the patient. For the group of students that completed the DASH questionnaire, the results were: 6.2 (assessment by students) and 6.7 (assessment by instructor) out of a maximum of 7.ConclusionA realistic simulation model, in combination with a standardized training program with formal assessment methods is a valuable tool to teach FNA. We here describe a process for teaching the FNA procedure to interested educators and learners.

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Percutaneous Image-guided Surgery Training: Model IHU-DAICIM

Giménez

Davrieux

Serra

et al. 2018

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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The evolution of guided imaging surgery is well known in recent years. As the field of action becomes more specific, learning and teaching are also more specific. State-of-the-art medical training should be mandatory in the field of general medicine and surgery in particular. In this work, we report on how to create a model for the formation of guided surgery by images in a simple and fast way, and its implementation by young surgeons. Pig models have been used in which collections made by bovine small intestine and simulated tumor lesions have been placed. Several types of image-guided procedures have been performed. No major complications were found during the development of the model or during its use. It is possible to develop a quick, simple, and safe living training model that can be used immediately after preparation.

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Specimen acquisition training with a new biosimulator in endobronchial ultrasound-guided transbronchial needle aspiration

Abstract: Supplemental Digital Content is available in the text

Cited by 5 publications

References 18 publications

A novel biosimulator based on ex vivo porcine lungs for training in peripheral tissue sampling using endobronchial ultrasonography with a guide sheath

A novel biosimulator based on ex vivo porcine lungs for training in peripheral tissue sampling using endobronchial ultrasonography with a guide sheath

A novel simulator model and standardized assessment tools for fine needle aspiration cytology training

Percutaneous Image-guided Surgery Training: Model IHU-DAICIM

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