Simulación en Otorrinolaringología: una herramienta de enseñanza y entrenamiento

Thone, Natalie; Winter, Matías; García-Matte, Raimundo J.; González, Claudia

doi:10.1016/j.otorri.2016.04.007

Cited by 19 publications

(7 citation statements)

References 26 publications

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“…Тренажер, разработанный нами, обладает рядом преимуществ перед другими продуктами, доступными на рынке [8,9]. Так, в отличие от зарубежных аналогов, он отличается универсальностью и возможностью отработки комплекса манипуляций (хирургия ушной раковины, отоскопия, удаление инородного тела наружного слухового прохода, проведение парацентеза барабанной перепонки) с учетом возрастных и анатомических особенностей уха.…”

Section: результаты и их обсуждениеunclassified

Modern technologies of simulation training in practical otorhinolaryngology

Vladimirova

Владимирова²,

Давыдкин-Гогель

et al. 2020

Science and Innovations in Medicine

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Objectives to evaluate the realism and usefulness of the model developed by us "The ear simulator for practicing emergency care skills in otorhinolaryngology". Material and methods.49 otorhinolaryngologists participated in the study. They performed the initial surgical debridement of the external ear, removal of earlobe atheroma, otoscopy, removal of foreign bodies of the external auditory canal, and paracentesis of the tympanic membrane using the developed simulator. The results were evaluated using a questionnaire on practicing emergency care skills in otorhinolaryngology. Results.The majority of the specialists (94%) defined the developed ear simulator as an adequate model for training, while 83% considered it possible to use it as a training tool for practicing doctors. Conclusion.The developed model of the simulator is intended for practical training of students and residents in otiatrics in the scope of performing emergency and urgent manipulations.

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Section: результаты и их обсуждениеunclassified

Modern technologies of simulation training in practical otorhinolaryngology

Vladimirova

Владимирова²,

Давыдкин-Гогель

et al. 2020

Science and Innovations in Medicine

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“…It allows trainees to identify and then master particular steps of a procedure and focus on higher-level skill acquisition in the operating room (6,7). Beyond improving the learning experience and boosting trainee confidence, some simulators have even been shown to reduce adverse surgical outcomes (1,2,(8)(9)(10). They have great potential as reliable tools for assessing and individualizing a trainee's progression toward operative competency.…”

Section: Introductionmentioning

confidence: 99%

Content Validity of a High-Fidelity Surgical Middle Ear Simulator: A Randomized Prospective International Multicenter Trial

Youner,

Chillakuru,

et al. 2023

Otol Neurotol

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Objective After demonstration of face validity of a surgical middle ear simulator (SMS) previously, we assessed the content validity of the simulator with otolaryngology residents. Study Design Multicenter randomized prospective international study. Setting Four academic institutions. Methods Novice participants were randomized into control, low-fidelity (LF), and high-fidelity (HF) groups. Control and LF produced 2 recordings from 2 attempts, and HF produced 4 recordings from 10 attempts, with trials 1, 4, 7, and 10 used for scoring. Three blinded experts graded videos of the simulated stapedectomy operation using an objective skills assessment test format consisting of global and stapedotomy-specific scales. Results A total of 152 recordings from 61 participants were included. Baseline characteristics did not differ significantly between groups. Depending on the step of the operation, inter-rater reliability ranged from 24 to 90%. For LF and HF, years of training was significantly associated with improved scores in certain objective skills assessment test subparts. HF outperformed the control group on stapes and global scores (p < 0.05). The HF group demonstrated improvement in global score over trials, but plateaued after four trials. Scores varied greatly for participants from different institutions in certain operative steps, such as transecting incudostapedial joints, likely due to differences in instrumentation and time elapsed since manufacture. Conclusion Practice with SMS led to better performance in both global and stapes-specific scores. Further studies are needed to examine construct validity and to create otology-appropriate grading systems. Variables like instrumentation and decline in flexibility of the simulator after 12 months greatly affect performance on the simulator.

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“…12,13 Use of SBT in otolaryngology–head and neck surgery (OTO-HNS) is well described in the literature; however, the majority of descriptions focus on specific procedures such as temporal bone surgery using virtual reality models, microlaryngoscopy using silicone models, and cricothyroidotomy and tracheostomy using both real and virtual models. 14–16 There is currently no detailed simulation scenario for the management of a postthyroidectomy hematoma. Our simulation scenario allows junior residents in OTO-HNS, anesthesiology, and other surgical specialties to practice technical and nontechnical skills of crisis management in a controlled environment without compromising patient safety.…”

Section: Introductionmentioning

confidence: 99%

Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma

Kim

Rajasingham

et al. 2019

MedEdPORTAL

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IntroductionAn expanding neck hematoma following thyroidectomy is a rare complication requiring urgent airway management and potential bedside evacuation before definitive surgical intervention. Due to its rare occurrence and life-threatening consequences, appropriate crisis resource management and a systematic approach are critical for patient safety.MethodsIn this simulation scenario using a high-fidelity mannequin, a 68-year-old male presented with an expanding cervical hematoma 2 hours after a total thyroidectomy. The target audience was junior residents (PGY 1, PGY 2) in otolaryngology–head and neck surgery. Residents were given a case stem to encourage active information gathering through history and physical examination. Setup and flow of the scenario were designed for residents to prioritize establishing an airway through bedside decompression of the hematoma prior to making operating room arrangements for definitive management. Standardized patients playing a ward nurse and patient family member added complexity to the case.ResultsSince 2012, the simulation has been used with a total of 96 residents as part of an annual boot camp. Surveys conducted after the boot camp verified the effectiveness of simulations in learning and, specifically, the usefulness of this scenario.DiscussionSimulation-based training is an effective learning modality for critical cases in health care disciplines involving emergency airway management. A well-developed simulation that closely resembles a real-life scenario is essential in creating a rich learning environment for trainees. Our scenario can be a valuable resource for other institutions implementing simulation-based training as part of their medical education.

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Simulación en Otorrinolaringología: una herramienta de enseñanza y entrenamiento

Cited by 19 publications

References 26 publications

Modern technologies of simulation training in practical otorhinolaryngology

Modern technologies of simulation training in practical otorhinolaryngology

Content Validity of a High-Fidelity Surgical Middle Ear Simulator: A Randomized Prospective International Multicenter Trial

Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma

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