An Inexpensive and Novel Model for Perimortem Cesarean Section

Sampson, Christopher; Renz, Nicholas; Wagner, Jason

doi:10.1097/sih.0b013e318271489c

Cited by 8 publications

(15 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 Evaluation of simulation model. All survey questions (1–5) were adapted from Sampson et al’s [ 6 ] survey analysis of a low-fidelity resuscitative hysterotomy model, using a 5-point Likert-type scale …”

Section: Resultsmentioning

confidence: 99%

“…The biosimulation models were reset between procedures via reimplantation of the fetus model with placenta inside new plastic bags with all previous lacerations repaired with nylon suture. Formal feedback on the learners’ self-reported confidence and satisfaction levels was solicited at the end of the workshop through the use of survey that was previously used specifically for low-fidelity resuscitative hysterotomy [ 6 ]. Quantitative evaluation of the simulated training session was extracted through a 5-item questionnaire using a 5-point Likert-type scale (i.e., from 1, strongly disagree, to 5, strongly agree).…”

Section: Methodsmentioning

confidence: 99%

“…To date, there are only a few commercially manufactured resuscitative hysterotomy task trainers available for training, further complicated by costly components, maintenance costs, and task trainer availability [ 4 – 6 ]. To address these issues, the authors propose a novel training program using a homegrown, high-realism, task trainer that can be easily inserted into an inexpensive childbirth simulator to teach emergency medicine (EM) residents resuscitative hysterotomy.…”

Section: Introductionmentioning

confidence: 99%

“…Simulation training of high-stakes, low-frequency procedures, combined with RCDP, offers a ripe opportunity for the development of “muscle memory” and enhanced confidence during highly stressful conditions [ 8 ]. Through the use of a survey previously cited in the simulation literature [ 6 ], the authors aimed to specifically measure the following: preference of instructional delivery with regard to hysterotomy training, appreciation for human anatomic representation, applicability to clinical practice, comfort with performing resuscitative hysterotomy, and familiarity with the procedure. These were each captured through items on the survey.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A novel biosimulation task trainer for the deliberate practice of resuscitative hysterotomy

et al. 2018

View full text Add to dashboard Cite

Resuscitative hysterotomy is a daunting and rarely performed procedure in the emergency department (ED). Given the paucity of clinical exposure to this intervention, resuscitative hysterotomy is an ideal opportunity for simulation-mediated deliberate practice. The authors propose a novel training program using a homegrown, realistic, simulation device as a means to practice resuscitative hysterotomy. Two high-fidelity, tissue-based task-trainer models were constructed and tested on a convenience sample of 14 emergency medicine (EM) residents. The simulated human placenta, bladder, amniotic sac, and uterus were constructed through the use of porcine skin, porcine stomach, transparent plastic bag, Foley tubing, and squid mantle, all secured with nylon sutures. A Gaumard S500 Articulating Newborn was inserted in the simulated uterus, and the entire model was placed into a Gaumard S500 Childbirth Simulator. Each model required less than 1 h for assembly. Emergent hysterotomy was first demonstrated by an EM faculty facilitator, followed by hands-on deliberate practice. Formal feedback on the learners’ self-reported confidence and satisfaction levels was solicited at the end of the workshop through a survey previously cited for use with a low-fidelity resuscitative hysterotomy. Quantitative evaluation of the simulated training session was extracted through a 5-item questionnaire using a 5-point Likert-type scale (i.e., from 1, strongly disagree, to 5, strongly agree). Item scores were added for a cumulative total score, with a possible maximum score of 25 and minimum score of 5. Responses were overwhelmingly positive [24.13 (± 1.36)]. Qualitative feedback was extracted from the survey through open-ended questions; these responses highlighted learners’ appreciation for hands-on practice and the development of a novel, tissue-based simulation task trainer. All participants recommended the training session be available to future learners. Resuscitative hysterotomy is a high-stakes, low-frequency procedure that demands provider practice and confidence. Our hybrid, tissue-based hysterotomy model represents a feasible opportunity for training. The model is cost conscious, easily reproducible, and portable and allows for ample deliberate practice.Electronic supplementary materialThe online version of this article (10.1186/s41077-018-0078-1) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A novel biosimulation task trainer for the deliberate practice of resuscitative hysterotomy

et al. 2018

View full text Add to dashboard Cite

show abstract

“…A portable model for simulation of perimortem CS is available. This model was recently tested within the training program at one education center and resulted in positive feedback .…”

Section: Resultsmentioning

confidence: 99%

Perimortem cesarean section for maternal and fetal salvage: concise review and protocol

Drukker

Hants

Einav

et al. 2014

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

Cardiopulmonary arrest is a rare event during pregnancy and labor. Perimortem cesarean section has been resorted to as a rare event since ancient times; however, greater awareness regarding this procedure within the medical community has only emerged in the past few decades. Current recommendations for maternal resuscitation include performance of the procedure after five minutes of unsuccessful cardiopulmonary resuscitation. If accomplished in a timely manner, perimortem cesarean section can result in fetal salvage and is also critical for maternal resuscitation. Nevertheless, deficits in knowledge about this procedure are common. We have reviewed publications on perimortem cesarean section and present the most recent evidence on this topic, as well as recommending our "easy-to-access protocol" adapted for resuscitation following maternal collapse.

show abstract

Postmortem cesarean section with seizing neonate at delivery

Renz

Sampson

Wagner³

2015

SimWars Simulation Case Book: Emergency Medicine

View full text Add to dashboard Cite

An Inexpensive and Novel Model for Perimortem Cesarean Section

Abstract: We present here an inexpensive, easy to make, and portable model, which can be used to simulate an emergency caesarian section.

Cited by 8 publications

References 11 publications

A novel biosimulation task trainer for the deliberate practice of resuscitative hysterotomy

A novel biosimulation task trainer for the deliberate practice of resuscitative hysterotomy

Perimortem cesarean section for maternal and fetal salvage: concise review and protocol

Postmortem cesarean section with seizing neonate at delivery

Contact Info

Product

Resources

About