Unleashing surgical skills: Ultra-high fidelity trauma thoracotomy training on knowledge donor platform.

Autor: 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.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2024 Dec; Vol. 238, pp. 115899. Date of Electronic Publication: 2024 Aug 13.
DOI: 10.1016/j.amjsurg.2024.115899
Abstrakt: 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 ​± ​1.7), followed by Live Patient only (4.3 ​± ​2.5), and KD only (2.6 ​± ​1.3). The mean confidence rating for residents with neither training opportunity was 1.4 ​± ​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.
Competing Interests: Declaration of competing interest All authors declare they do not have any competing interests that influenced the work reported in this article.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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