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Unleashing surgical skills: Ultra-high fidelity trauma thoracotomy training on knowledge donor platform.
Gray, Kayla E; Premkumar, Agnes; Mahrer, Mikaela G; Eastes, Joel G; Gulati, Snigdha; Kupanoff, Kristina M; Mankin, James A; Wu, Peter; Czarkowski, Brian R; Bogert, James N; Weinberg, Jordan A; Soe-Lin, Hahn.
Afiliación
  • Gray KE; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: kayla.gray900@commonspirit.org.
  • Premkumar A; Department of Surgery, Creighton University School of Medicine-Phoenix Regional Campus, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: agnespremkumar@creighton.edu.
  • Mahrer MG; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: mikaelamahrer@gmail.com.
  • Eastes JG; Department of Surgery, Creighton University School of Medicine-Phoenix Regional Campus, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: joeleastes@creighton.edu.
  • Gulati S; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: snigdha.gulati@commonspirit.org.
  • Kupanoff KM; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: Kristina.Kupanoff@commonspirit.org.
  • Mankin JA; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: sammankin@gmail.com.
  • Wu P; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: peter.wu@commonspirit.org.
  • Czarkowski BR; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: Brian.Czarkowski@Commonspirit.org.
  • Bogert JN; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: James.Bogert@commonspirit.org.
  • Weinberg JA; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: JordanWeinberg@Commonspirit.edu.
  • Soe-Lin H; Department of Trauma Surgery, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. Electronic address: Hahn.Soe-Lin@Commonspirit.org.
Am J Surg ; 238: 115899, 2024 Aug 13.
Article en En | MEDLINE | ID: mdl-39243501
ABSTRACT

BACKGROUND:

Resuscitative thoracotomies are a time-sensitive emergency surgical procedure with an immediate risk of mortality. We hypothesize that a high-fidelity whole-body donor simulation model, referred to as a Knowledge Donor (KD), with mechanical lung ventilation and expired human blood perfusion could increase learner confidence in performing this critical procedure.

METHODS:

General surgery residents and faculty were invited to participate in KD training. Surveys were collected to track participation and confidence.

RESULTS:

Simulated resuscitative thoracotomies were performed involving PGY levels I-IV. Mean confidence was highest for residents with both KD and Live Patient experience (5.6 â€‹± â€‹1.7), followed by Live Patient only (4.3 â€‹± â€‹2.5), and KD only (2.6 â€‹± â€‹1.3). The mean confidence rating for residents with neither training opportunity was 1.4 â€‹± â€‹1.0.

CONCLUSIONS:

The KD platform is a hyper-realistic training modality that closely replicates live surgery. This platform allows residents to practice complex surgical procedures in a safe environment, without risking patient safety. This pilot program yielded early results in improving resident procedural confidence for high-risk surgical procedures, specifically resuscitative thoracotomies.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Surg Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Surg Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos