Evaluation tool for a gastroenterostomy simulated training

Abstract

Purpose To create a checklist to evaluate the performance and systematize the gastroenterostomy simulated training. Methods Experimental longitudinal study of a quantitative character. The sample consisted of twelve general surgery residents. The training was divided into 5 sessions and consisted of participation in 20 gastroenterostomys in synthetic organs. The training was accompanied by an experienced surgeon who was responsible for the feedback and the anastomoses evaluation. The anastomoses evaluated were the first, fourth, sixth, eighth and tenth. A 10 item checklist and the time to evaluate performance were used. Results Residents showed a reduction in operative time and evolution in the surgical technique statistically significant (p<0.01). The correlation index of 0.545 and 0,295 showed a high linear correlation between time variables and Checklist. The average Checklist score went from 6.8 to 9 points. Conclusion The proposed checklist can be used to evaluate the performance and systematization of a simulated training aimed at configuring a gastroenterostomy.

Evaluasi Penggunaan Surgical Safety Checklist terhadap Kematian Pasien setelah Laparotomi Darurat di Kamar Operasi

“…Ini bermanfaat untuk mengevaluasi pendokumentasian yang tidak lengkap atau salah dalam pengisian saat fase timeout yang berkaitan dengan kesadaran evaluasi pasca operasi yang dianggap kurang penting. Meskipun telah melewati masa kritis pada keselamatan pasien, operator dokter bedah, dokter anestesi dan perawat seharusnya tetap melakukan review utama yang harus diperhatikan untuk penyembuhan dan manajemen pasien untuk selanjutnya (Barreira et al, 2019).…”

“…Fase sign in dilakukan sebelum induksi anestesi dilakukan, koordinator akan memeriksa secara verbal terkait identitas pasien apakah telah dikonfirmasi, prosedur dan sisi operasi sudah benar, sisi yang akan dioperasi telah ditandai, persetujuan untuk operasi telah diberikan, pulse oksimetri pada pasien berfungsi. Koordinator dengan profesional anestesi mengkonfirmasi risiko pasien apakah pasien ada risiko kehilangan darah, kesulitan jalan nafas dan reaksi alergi (Barreira et al, 2019).…”

Endoscopic Ultrasound-guided Gastroenterostomy: A Promising Alternative to Surgery

“…At present, the most common interventions for the treatment of GOO are endoscopic SEMS placement or surgical gastrojejunostomy (SGJ). [8, 61, 62, 63] EUS-GE is the latest breakthrough technique for the management of patients with GOO. [18,20,58,64,65] Randomized trials have compared the outcomes of the 3 interventions with mixed results.…”

“…In addition, SGJ is associated with frequent complications, including perioperative infection and gastroparesis. [8, 61, 62, 63, 68] Khashab et al . [69] conducted an international multicenter comparative trial of EUS-GE versus SGJ for the treatment of malignant GOO and recommended EUS-GE as a non-inferior but less invasive alternative to surgery.…”