Chest drainage teaching and training for medical students. Use of a surgical ex vivo pig model

Tube, Milton Ignacio Carvalho; Netto, Fernando Antônio Campelo Spencer; Costa, Elaine Cristina Pimentel; Lafayette, Daniell de Siqueira Araújo; Lima, Guilherme Cunha; Menezes, Jamile Isabela Santos de; Aires, Vinicius Gueiros Buenos; Ferraz, Álvaro Antônio Bandeira; Campos, Josemberg Marins; Neto, Fernando Ribeiro de Moraes

doi:10.1590/s0102-865020160050000010

Cited by 8 publications

(9 citation statements)

References 15 publications

(17 reference statements)

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“…Several authors state that the option with the lowest incidence of infection and the highest cost-benefit is chlorhexidine alcohol [14,[34][35][36]. Another point of divergence in the literature is the use of 1% lidocaine [14] versus using 2% lidocaine [29] versus using neither [8]. In the literature, there are no high-quality studies on the benefits or efficacy of one over the other, only indications of different dosages, and other articles also indicate that both concentrations are acceptable [37,38].…”

Section: Divergences In Carrying Out the Proceduresmentioning

confidence: 99%

Interdisciplinary teamwork for chest tube insertion and management: an integrative review

Ghazali¹,

Ilha-Schuelter²,

Barbosa³

et al. 2021

ait

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The importance of an interdisciplinary endeavour is the capacity of multiple professionals with different backgrounds working together to deliver higher quality care [1]. The concept of medicine as an isolated discipline concerned with the restoration of health has been replaced with the concept of different health professionals working together to maintain health [2]. This type of team-based learning can occur in either academic or clinical settings, during medical school and residency, and consist of any combination of professional groups [3]. Interdisciplinary collaboration in health care is crucial to offering patient-centred care, and working collaboratively is not only essential but also crucial in providing quality and safety in patient-centred care [2]. In the thoracostomy procedure, the physician/surgeon and nursing teams must work together to achieve patient care, sharing tasks and responsibilities [2].

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Section: Divergences In Carrying Out the Proceduresmentioning

confidence: 99%

Interdisciplinary teamwork for chest tube insertion and management: an integrative review

Ghazali¹,

Ilha-Schuelter²,

Barbosa³

et al. 2021

ait

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“…We excluded 20 students, four by allergy to latex and talc gloves; one had a phobia of blood and animal tissues; five were monitors in surgical disciplines and 10 were volunteers in emergency services and already had experienced venous dissection patient 3 …”

Section: ) Students With a History Of Venous Dissection Practices;mentioning

confidence: 99%

“…In this context the Federal University of Pernambuco from 2014, have joined to that transformation process in medical education by implementing innovative initiatives using this type of simulators 3,4 . This study sets out the method used to raise the surgical skills at a satisfactory level in the venous dissection execution by students of second and eighth semesters of medical school UFPE, using as a key resource training in a live surgical pig model ex easy assembly and low cost.…”

Section: ■ Introductionmentioning

confidence: 99%

Surgical model pig ex vivo for venous dissection teaching in medical schools

Tube

Spencer-Netto²,

Oliveira³

et al. 2017

Acta Cir. Bras.

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Purpose: To investigate a method for development of surgical skills in medical students simulating venous dissection in surgical ex vivo pig model. Methods: Prospective, analytical, experimental, controlled study with four stages: selection, theoretical teaching, training and assessment. Sample of 312 students was divided into two groups: Group A -2nd semester students; Group B -students of 8th semester. The groups were divided into five groups of 12 students, trained two hours per week in the semester. They set up four models to three students in each skill station assisted by a monitor. Teaching protocol emergency procedures training were applied to venous dissection, test goal-discursive and OSATS scale. Results:The pre-test confirmed that the methodology has not been previously applied to the students. The averages obtained in the theoretical evaluation reached satisfactory parameters in both groups. The results of applying OSATS scale showed the best performance in group A compared to group B, however, both groups had satisfactory medium. Conclusion: The method was enough to raise a satisfactory level of skill both groups in venous dissection running on surgical swine ex vivo models.

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“…Há descrição na literatura da fabricação de modelos de baixo custo de drenagem torácica para o aprendizado prático em alternativa a modelos comerciais, porém estes utilizam animais ou outros materiais de difícil acesso para a obtenção dos simuladores [6][7][8][9] .…”

Section: Introductionunclassified

Desenvolvendo um modelo sintético de baixo custo para treinamento de drenagem torácica em ambiente de simulação

Oliveira

Queiroz

Mesquita

et al. 2020

Rev. Med. (São Paulo)

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Objetivo: Descrever a construção de um simulador de baixo custo de drenagem torácica para capacitar a realização deste procedimento. Métodos: A concepção do modelo se deu em 2014 por integrantes do Programa de Educação Tutorial do curso de Medicina da UNIFOR. A seguir, o modelo foi testado por 10 especialistas e posteriormente aprovado para ser aplicado em quatro edições de um curso teórico-prático de procedimentos invasivos com acadêmicos de Medicina de diferentes universidades. Para avaliar o simulador e o desempenho no seu uso, aplicou-se questionários semiestruturados e checklist. Os dados foram analisados pelo Statistical Package for the Social Sciences v. 22 usando estatística descritiva. Resultados: Usou-se um manequim plástico comercial em que foi realizado um corte de 8x8 cm na região lateral do tórax, correspondente ao local da drenagem. Neste local, foram posicionadas folhas de E.V.A. (simulando pele e músculos intercostais), esponja de estofado (subcutâneo) e folha de PVC (pleura). Na parte interna do manequim foi colocada uma estrutura de madeira contendo duas costelas e, entre elas, um copo plástico recoberto por E.V.A. contendo líquido vermelho (simulando um hemotórax). O custo inicial do modelo completo foi de R$ 81,00/US$ 21,00. Quando testado por especialistas, todos concordaram que o modelo pode ser usado para o ensino na graduação. Durante o curso de procedimentos invasivos, 129 acadêmicos realizaram o procedimento, em que 64,3% dos alunos inseriram corretamente o dreno e 79,1% conectaram ao sistema de drenagem. Apesar de um percentual de erros importante visto em passos iniciais básicos, os alunos conseguiram executar a técnica proposta de forma suficiente. Conclusão: O simulador de drenagem de tórax mostrou-se ser de fácil acesso e reprodução nas universidades, o que o torna uma ferramenta útil para o ensino.

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Chest drainage teaching and training for medical students. Use of a surgical ex vivo pig model

Cited by 8 publications

References 15 publications

Interdisciplinary teamwork for chest tube insertion and management: an integrative review

Interdisciplinary teamwork for chest tube insertion and management: an integrative review

Surgical model pig ex vivo for venous dissection teaching in medical schools

Desenvolvendo um modelo sintético de baixo custo para treinamento de drenagem torácica em ambiente de simulação

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