Cadaveric Ecmo Cannulation Simulator

Fagan, Andrew; Gould, Jodie; Horne, David; Morrison, Stuart; Kovács, G.; Sandeski, Robert

doi:10.1016/j.cjca.2019.07.202

Cited by 2 publications

(1 citation statement)

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“…The cost is high because cadavers are not easy to acquire and are costly. In addition, when training is performed on such systems, disinfection of the whole system is required after the end of the training to avoid infection to learners and to uphold hygienic standards [13].…”

Section: Cadaveric Ecmo Cannulation Simulatormentioning

confidence: 99%

A Review of Human Circulatory System Simulation: Bridging the Gap between Engineering and Medicine

et al. 2021

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(1) Background: Simulation-based training (SBT) is the practice of using hands-on training to immerse learners in a risk-free and high-fidelity environment. SBT is used in various fields due to its risk-free benefits from a safety and an economic perspective. In addition, SBT provides immersive training unmatched by traditional teaching the interactive visualization needed in particular scenarios. Medical SBT is a prevalent practice as it allows for a platform for learners to learn in a risk-free and cost-effective environment, especially in critical care, as mistakes could easily cause fatalities. An essential category of care is human circulatory system care (HCSC), which includes essential-to-simulate complications such as cardiac arrest. (2) Methods: In this paper, a deeper look onto existing human circulatory system medical SBT is presented to assess and highlight the important features that should be present with a focus on extracorporeal membrane oxygenation cannulation (ECMO) simulators and cardiac catheterization. (3) Results: A list of features is also suggested for an ideal simulator to bridge the gap between medical studies and simulator engineering, followed by a case study of an ECMO SBT system design. (4) Conclusions: a collection and discussion of existing work for HCSC SBT are portrayed as a guide for researchers and practitioners to compare existing SBT and recreating them effectively.

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Section: Cadaveric Ecmo Cannulation Simulatormentioning

confidence: 99%

A Review of Human Circulatory System Simulation: Bridging the Gap between Engineering and Medicine

et al. 2021

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A human cadaveric model for venous air embolism tool development

Robinson,

Marcellino,

Johnston

et al. 2023

Preprint

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Purpose A human cadaveric model combining standard lung protective mechanical ventilation and modified cardiac bypass techniques was developed to allow investigation into automated modes of detection of venous air emboli (VAE) prior to in vivo human or animal investigations. Methods In this study, in order to create an artificial cardiopulmonary circuit in a cadaver that could mimic VAE physiology, the direction of flow was reversed from conventional cardiac bypass. Saline was circulated in isolation through the heart and lungs as opposed to the peripheral organs by placing the venous cannula into the aorta and the arterial cannula into the inferior vena cava with selective ligation of other vessels. Results Mechanical ventilation and this reversed cardiac bypass scheme allowed preliminary detection of VAE independently but not in concert in our current simulation scheme due to pulmonary edema in the cadaver. A limited dissection approach was used initially followed by a radical exposure of the great vessels, and both proved feasible in terms of air signal detection. We used electrical impendence as a preliminary tool to validate detection in this cadaveric model however we theorize that it would work for echocardiographic, intravenous ultrasound or other novel modalities as well. Conclusion A cadaveric model allows monitoring technology development with reduced use of animal and conventional human testing.

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Cadaveric Ecmo Cannulation Simulator

Cited by 2 publications

References 0 publications

A Review of Human Circulatory System Simulation: Bridging the Gap between Engineering and Medicine

A Review of Human Circulatory System Simulation: Bridging the Gap between Engineering and Medicine

A human cadaveric model for venous air embolism tool development

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