Objective: Thoracotomy is an acute, time-sensitive procedure. Simulation-based education provides a safe-learning platform to learn these techniques under close supervision.
Methods: We used the spiral model and concepts of functional fidelity to guide the evolutionary design and fabrication of a hybrid thoracotomy simulator.
Results: This model simulates a clamshell thoracotomy that physically integrates with bespoke manikins and adds a high-fidelity technical skills element to immersive team-based simulation training.
Conclusions: We describe the creation of a thoracotomy simulation model that allows trainees to practice these techniques in a safe-learning environment.
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http://dx.doi.org/10.1111/1742-6723.14398 | DOI Listing |
J Trauma Acute Care Surg
December 2024
From the Emergency Surgical Services, Department of Surgery (J.G.P.), Santa Casa School of Medicine, Sao Paulo, Brazil; Division of Acute Care Surgery (R.C.), and Comparative Effectiveness and Clinical Outcomes Research Center (R.C.), Riverside University Health System Medical Center, Moreno Valley; and Loma Linda University School of Medicine (R.C.), Loma Linda, California.
Despite significant advances in trauma surgery in recent years, patients sustaining penetrating cardiac injuries still have an overall survival rate of 19%. A substantial number of deaths occur at the scene, while approximately 40% of those reaching trauma centers survive. To increase survival, the key factor is timely intervention for bleeding control, pericardial tamponade release, and definitive repair.
View Article and Find Full Text PDFKyobu Geka
September 2024
Division of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Surgery for large tumors that occupy one side of the thoracic cavity requires a surgical strategy that considers not only the localization and size of the tumor but also tumor manipulation, access to adjacent vital organs such as the pulmonary arteriovenous, the tumor infiltration range, and combined organ resection. To perform safe and high-quality surgery, it is necessary to obtain a good surgical field, and determining the optimal surgical approach to use is also important. Thoracotomies include posterolateral thoracotomy, rib-cross thoracotomy, clamshell thoracotomy, hemi-clamshell thoracotomy, and transmanubrial osteomascular-sparing approach.
View Article and Find Full Text PDFInt J Surg Case Rep
December 2024
Adama Hospital Medical College, Adama, Ethiopia.
J Anesth Analg Crit Care
September 2024
London's Air Ambulance and Barts Health NHS Trust, Royal London Hospital, London, UK.
Background: The Chiari network mostly causes no symptoms but may occasionally be involved in thrombus formation in the right atrium. We present a case of right atrial thrombus discovered in the postoperative course of blunt cardiac rupture.
Case Presentation: A 19-year-old female injured in a motor vehicle accident was transported to the hospital in a state of shock.
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