Elaboración de un simulador de trauma torácico a partir de un torso cadavérico utilizando tecnología de imágenes digitales e impresión 3D.

Spoerer, Sebastián; Vela, Javier; Contreras, Caterina; Ortiz, Catalina; Caro, Iván; Riquelme, Carlos; Garrido, Francisco; Inzunza, Oscar; Ramos, Juan Pablo Hernández; Achurra, Pablo; Varas, Julián; Jarufe, Nicolás

doi:10.35687/s2452-45492021003906

Cited by 2 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It consisted of 5 simulation-based stations: bowel anastomosis (hand-sewn side-to-side entero-enterostomy on a bovine bowel), vascular anastomosis (end-to-end handsewn anastomosis in a perfused 5 mm porcine carotid or iliac artery), laparoscopic suturing (laparoscopic suturing of gastric perforation in an ex vivo porcine stomach model), penetrating lung injury (hand-sewn tractotomy in ex vivo ventilated porcine lungs), and penetrating cardiac injury (bleeding control and suturing of three standardized injuries: right atrium, right ventricle away from the coronary artery, and left ventricle in the vicinity of the coronary artery in a perfused ex vivo porcine model). The cardiac model was perfused using a pulsatile roller pump connected to the aorta, delivering up to 5 lt/min of fake blood, with a pumping heart effect of 120-140 beats per minute [14,[16][17][18].…”

Section: Assessment and Trainingmentioning

confidence: 99%

A new approach for the acquisition of trauma surgical skills: an OSCE type of simulation training program

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Worldwide, trauma-related deaths are one of the main causes of mortality. Appropriate surgical treatment is crucial to prevent mortality, however, in the past decade, general surgery residents' exposure to trauma cases has decreased, particularly since the COVID-19 pandemic. In this context, accessible simulation-based training scenarios are essential. Methods A low-cost, previously tested OSCE scenario for the evaluation of surgical skills in trauma was implemented as part of a short training boot camp for residents and recently graduated surgeons. The following stations were included bowel anastomosis, vascular anastomosis, penetrating lung injury, penetrating cardiac injury, and gastric perforation (laparoscopic suturing). A total of 75 participants from 15 different programs were recruited. Each station was videotaped in high definition and assessed in a remote and asynchronous manner. The level of competency was assessed through global and specific rating scales alongside procedural times. Self-confidence to perform the procedure as the leading surgeon was evaluated before and after training. Results Statistically significant differences were found in pre-training scores between groups for all stations. The lowest scores were obtained in the cardiac and lung injury stations. After training, participants significantly increased their level of competence in both grading systems. Procedural times for the pulmonary tractotomy, bowel anastomosis, and vascular anastomosis stations increased after training. A significant improvement in self-confidence was shown in all stations. Conclusion An OSCE scenario for training surgical skills in trauma was effective in improving proficiency level and selfconfidence. Low pre-training scores and level of confidence in the cardiac and lung injury stations represent a deficit in residency programs that should be addressed. The incorporation of simulation-based teaching tools at early stages in residency would be beneficial when future surgeons face extremely severe trauma scenarios.

show abstract

Section: Assessment and Trainingmentioning

confidence: 99%

A new approach for the acquisition of trauma surgical skills: an OSCE type of simulation training program

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Entre las técnicas clínicas más comunes, se cuenta a la extracción de muestra sanguínea y la inserción de accesos vasculares; para su entrenamiento, se utilizan modelos denominados "brazos venosos de punción", que presentan una elevada demanda de uso, lo cual, sumado al deterioro natural -debido a punciones repetitivas-, motiva a fabricar modelos de "bajo costo" [3][4][5] en las propias instituciones educativas, con el fin de disminuir la dependencia de modelos comerciales 5 .…”

unclassified

“…Es destacable el costo de fabricación, menor al costo de un modelo comercial; esto permite amplias posibilidades, en especial para instituciones donde el acceso a modelos de simulación está restringido al presupuesto. Hay estudios que confirman la transferencia de las habilidades de técnicas clínicas aprendidas con simulación, hacia la atención del paciente, donde los modelos de baja y alta fidelidad logran ser efectivos, a menor costo 3,4 .…”

unclassified