The Decline of Tracheotomy among Otolaryngologists

Patel, Hetal; Siltumens, Aldis; Bess, Leah; Camacho, Fabian; Goldenberg, David

doi:10.1177/0194599814563513

Cited by 12 publications

(20 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The challenges of resident work‐hour restrictions, low case volumes, and pressure for increased operating room efficiency limit learning opportunities for surgical trainees in the operating room 2–4 . Although we previously demonstrated that the live porcine model has high face and content validity as a training tool for tracheostomy and LTR, use of animals for training can be limited due to anatomical differences from humans, cost, availability, ethics, a need for specialized facilities and personnel, and a limited ability to archive specimens or preserve progress 5,7,8 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Synthetic Simulator for Surgical Training in Tracheostomy and Open Airway Surgery

et al. 2021

View full text Add to dashboard Cite

Objective(s) To create and validate a synthetic simulator for teaching tracheostomy and laryngotracheal reconstruction (LTR) using anterior costal cartilage and thyroid ala cartilage grafts. Methods A late adolescent/adult neck and airway simulator was constructed based on CT scans from a cadaver and a live patient. Images were segmented to create three‐dimensional printed molds from which anatomical parts were casted. To evaluate the simulator, expert otolaryngologists ‐ head and neck surgeons performed tracheostomy and LTR using anterior costal cartilage and thyroid ala cartilage grafts on a live anesthetized porcine model (gold standard) followed by the synthetic simulator. They evaluated each model for face validity (realism and anatomical accuracy) and content validity (perceived effectiveness as a training tool) using a five‐point Likert scale. For each expert, differences for each item on each simulator were compared using Wilcoxon Signed‐Rank tests with Sidak correction. Results Nine expert faculty surgeons completed the study. Experts rated face and content validity of the synthetic simulator an overall median of 4 and 5, respectively. There was no difference in scores between the synthetic model and the live porcine model for any of the steps of any of the surgical procedures. Conclusion The synthetic simulator created for this study has high face and content validity for tracheostomy and LTR with anterior costal cartilage and thyroid ala cartilage grafts and was not found to be different than the live porcine model for these procedures. Level of Evidence 5 Laryngoscope, 131:E2378–E2386, 2021

show abstract

Section: Discussionmentioning

confidence: 99%

“…The graft is commonly harvested from costal cartilage in older children and adolescents, and thyroid cartilage in neonates. Challenges of resident work‐hour restrictions, low case volumes, and pressure for increased operating room efficiency limit opportunities for surgical trainees to learn these procedures in the operating room 2‐4 …”

Section: Introductionmentioning

confidence: 99%

Synthetic Simulator for Surgical Training in Tracheostomy and Open Airway Surgery

et al. 2021

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…The safety, efficiency, and cost-effectiveness of percutaneous tracheostomy have been increasingly documented by surgeons, critical care physicians, and interventional pulmonologists, who now perform a majority of the procedures. 38,47,48 Tracheostomy abetted by Seldinger guide-wire insertion has inarguably enhanced the status of medicine and surgery in general and the repair of craniofacial and maxillofacial injury in particular, in the 21st century.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Tracheostomy and Percutaneous Angiography: The Diuturnity of Sven-Ivar Seldinger of Mora, Pasquale Ciaglia of Utica

Pollock

2016

Craniomaxillofacial Trauma & Reconstruction

View full text Add to dashboard Cite

In the latter part of the 20th century, three developments intersected: skin-to-artery catheterization, percutaneous tracheostomy, and market introduction of video-chip camera-tipped endoscopes. By the millennium, every vessel within the body could be visualized radiographically, and percutaneous tracheostomy (with tracheal-ring "dilation," flawless high-resolution intratracheal video-imagery, and tracheal intubation) could consistently be achieved at the patient's bedside. Initiated through the skin and abetted by guide-wire insertion, these procedures are the lasting gifts of Sven-Ivar Seldinger (1921-1998) of Mora, Sweden, and Pasquale Ciaglia (1912-2000) of Utica, New York. Physicians and surgeons managing intracranial, craniofacial, and maxillofacial injury are among those honoring the Seldinger-Ciaglia "collaboration."

show abstract

“…Tracheostomy and open‐airway surgery are complex, low‐frequency procedures that require advanced training. Challenges of resident work‐hour restrictions and low case volumes limit learning opportunities for surgical trainees in the operating room . Surgical simulation is a growing area of research, as it can provide valuable opportunities for residents and fellows to learn and refine technical skills without risk to patient safety.…”

Section: Introductionmentioning

confidence: 99%

Live porcine model for surgical training in tracheostomy and open‐airway surgery

et al. 2019

View full text Add to dashboard Cite

Objectives/Hypothesis To evaluate the validity of a live porcine model for surgical training in tracheostomy and open‐airway surgery. Study Design Prospective observational study. Methods Eleven expert otolaryngologists–head and neck surgeons rated a live porcine model's realism/anatomical accuracy (face validity) and perceived effectiveness as a training tool (content validity) for tracheostomy and laryngotracheoplasty using anterior costal cartilage and thyroid ala cartilage grafts using a 53‐item post‐trial questionnaire with a five‐point Likert scale. Results Experts rated the face validity of the live porcine model a median (interquartile range [IQR]) of 4/5 (4–5) and the content validity a median (IQR) of 5/5 (4–5) for each surgical procedure. Overall, 91% strongly agreed or agreed that the simulator would increase trainee competency for tracheostomy and laryngotracheoplasty using costal cartilage graft, and 82% strongly agreed or agreed that it would increase trainee competency for laryngotracheoplasty using thyroid ala cartilage graft. Conclusions The live porcine model has high face and content validity as a training tool for tracheostomy and laryngotracheoplasty using costal cartilage and thyroid ala cartilage grafts. This training model can help surgical trainees practice these complex, low‐frequency procedures. Level of Evidence NA Laryngoscope, 130: 2063–2068, 2020

show abstract

The Decline of Tracheotomy among Otolaryngologists

Cited by 12 publications

References 21 publications

Synthetic Simulator for Surgical Training in Tracheostomy and Open Airway Surgery

Synthetic Simulator for Surgical Training in Tracheostomy and Open Airway Surgery

Percutaneous Tracheostomy and Percutaneous Angiography: The Diuturnity of Sven-Ivar Seldinger of Mora, Pasquale Ciaglia of Utica

Live porcine model for surgical training in tracheostomy and open‐airway surgery

Contact Info

Product

Resources

About