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Journal of Surgical Simulation最新文献

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The effect of a video game warm-up on laparoscopic proficiency in a simulated setting: a randomized trial 模拟情境下视频游戏热身对腹腔镜熟练程度的影响:一项随机试验
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2019.0002
J. Andrews, P. Hewett
Background: The concept of warming up is well established in many complex motor skills, but has only recently been of interest to those performing surgery. An increasing body of evidence suggests that there may be a measurable benefit to warming up. However, the most efficient and cost-effective method of warm-up has yet to be established. This pilot study aims to determine if a simple video game may be used. Methods: Medical students and junior doctors with little laparoscopic experience were recruited and randomized to either the control group (n = 10) or the intervention group (n = 10). The control group performed three increasingly complex simulated laparoscopic tasks and the time and number of errors were recorded. The intervention group spent 10 min warming up on a Playstation 3 Move video games console before performing the same simulated tasks. Results: The performance of both groups was similar for the first two tasks. However, on the third and most complex task, the intervention group made significantly more errors than the control group. Conclusions: Although the Playstation 3 Move video game appears to replicate laparoscopic simulation well, it does not appear to offer any benefit in performing warm-up. The results of this study suggest that warming up may be more complex than previously understood.
背景:热身的概念在许多复杂的运动技能中得到了很好的确立,但直到最近才引起那些进行外科手术的人的兴趣。越来越多的证据表明,变暖可能有可衡量的好处。然而,最有效和最具成本效益的热身方法尚未确定。这项初步研究旨在确定是否可以使用简单的电子游戏。方法:招募医学生和缺乏腹腔镜经验的初级医生,随机分为对照组(n = 10)和干预组(n = 10)。对照组执行三个越来越复杂的模拟腹腔镜任务,并记录错误的时间和次数。干预组在执行同样的模拟任务之前,花了10分钟在Playstation 3 Move视频游戏机上热身。结果:两组在前两项任务中的表现相似。然而,在第三个也是最复杂的任务上,干预组比对照组犯了更多的错误。结论:尽管Playstation 3 Move视频游戏似乎很好地复制了腹腔镜模拟,但它似乎没有提供任何热身的好处。这项研究的结果表明,热身可能比以前理解的要复杂得多。
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引用次数: 0
Interactive systems for use by patients in hospital: disruptive or disrupting? 医院患者使用的交互式系统:破坏性的还是破坏性的?
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2019.a007
C. Small
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引用次数: 0
Development of an Australasian laparoscopic sleeve gastrectomy curriculum: a content validation study 澳大利亚腹腔镜袖胃切除术课程的发展:内容验证研究
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2022.0004
R. Blackham, J. Hamdorf
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引用次数: 0
Building a virtual community of practice based on critical appraisal skills - the CRAMSURG experience 建立一个基于关键评估技能的虚拟实践社区- CRAMSURG经验
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2021.a009
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引用次数: 0
A prospective cohort study evaluating the effectiveness of cardiac arrest and resternotomy simulation training of the post-cardiac surgery recovery team 一项评估心脏手术后康复团队心脏骤停和胸腔切开模拟训练有效性的前瞻性队列研究
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2021.0010
Andrew Keogan, R. Maier, Molly Hagen
Objective: The management of cardiac arrest in after cardiac surgery requires resuscitative efforts that deviate from the established American Heart Association Advanced Cardiac Life Support guidelines (ACLS) guidelines. The Society of Thoracic Surgeons (STS) and the European Association of Cardiothoracic Surgery have established guidelines for managing cardiac arrest and resternotomy in these patients and recommend regular practice by the multidisciplinary recovery team. This study, conducted at a single institution, aimed to identify areas of deficiency in knowledge of STS guidelines and evaluate the effects of simulation on comfort with the procedure and perceived value of training. Methods: A before and after study was performed whereby participants were given hands-on resternotomy training and completed preand post-training surveys that assessed knowledge of the STS protocol, comfort level, and value perception. The training, simulation, and survey were conducted in a clinical simulation laboratory. Study participants included registered nurses, attending physicians, resident physicians, pharmacists, and respiratory therapists. The training consisted of a lecture followed by a high-fidelity simulation of a cardiac arrest leading to bedside surgical exploration utilizing a resternotomy manikin. Results: Participants’ baseline scores of knowledge of STS guidelines averaged 53.3%. This average increased to 81.3% after training, with improvement on four of the six knowledge questions achieving statistical significance (P 5 0.001 in all cases). Participant comfort with the STS protocol and the resternotomy procedure increased significantly (both P 5 0.0001), as well as value perceptions of the simulation training (P 5 0.03) and utilizing a resternotomy capable manikin (P 5 0.02). Conclusions: Participants’ inadequate knowledge of STS guidelines suggests that delivering education to all post-cardiac surgery team members would be beneficial and is desired by clinicians. High-fidelity resternotomy simulation has favorable effects on participant comfort and their perceived value of training and can be made affordable by modifying widely available supplies.
目的:心脏手术后心脏骤停的处理需要复苏的努力,偏离了既定的美国心脏协会高级心脏生命支持指南(ACLS)指南。胸外科学会(STS)和欧洲心胸外科协会已经制定了处理这些患者的心脏骤停和胸骨切开术的指南,并建议多学科康复团队定期实践。这项研究是在一个单一的机构进行的,旨在确定在STS指南知识方面的不足之处,并评估模拟对程序的舒适度和培训的感知价值的影响。方法:在研究前和研究后,参与者接受了实际的胸骨切开术培训,并完成了培训前和培训后的调查,以评估STS方案的知识、舒适度和价值感知。培训、模拟和调查在临床模拟实验室进行。研究参与者包括注册护士、主治医师、住院医师、药剂师和呼吸治疗师。培训包括一个讲座,随后是一个高保真模拟心脏骤停,导致床边手术探查利用胸骨切开术假人。结果:参与者STS指南知识基线得分平均为53.3%。这一平均值在训练后增加到81.3%,6个知识问题中的4个问题的改善达到了统计学意义(所有情况下的p5 0.001)。参与者对STS方案和胸骨切开术的舒适度显著增加(P均为0.0001),对模拟训练的价值感知(P均为0.03)和使用胸骨切开术的人体模型(P均为0.05)也显著增加。结论:参与者对STS指南的知识不足表明,向所有心脏手术后团队成员提供教育是有益的,也是临床医生所希望的。高保真胸骨切开术模拟对参与者的舒适度和他们对训练的感知价值有良好的影响,并且可以通过修改广泛可用的供应而使其负担得起。
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引用次数: 0
Survey of perceived barriers to medical students for progression into surgery 医学生进入外科的障碍调查
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2021.a026
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引用次数: 0
A validated benchtop simulation model for flexor tendon repair 一个经过验证的屈肌腱修复的台式模拟模型
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2023.0002
Lydia Robb, P. Rust
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引用次数: 0
Flat elastic band: an alternative, inexpensive, invaluable material to develop models for laparoscopic suturing practice 平弹性带:一种替代,廉价,宝贵的材料,以发展模型的腹腔镜缝合实践
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2021.a024
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引用次数: 0
Transcarotid artery revascularization simulation using 3D printing and polymers 利用3D打印和聚合物模拟经颈动脉血运重建
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2022.0019
Gabrielle Santangelo, Doran S. Mix, Michael Stoner, J. Stone
{"title":"Transcarotid artery revascularization simulation using 3D printing and polymers","authors":"Gabrielle Santangelo, Doran S. Mix, Michael Stoner, J. Stone","doi":"10.1102/2051-7726.2022.0019","DOIUrl":"https://doi.org/10.1102/2051-7726.2022.0019","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114996334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges in evaluation of a simulation-based educational course for repair of obstetric anal sphincter injuries 评估产科肛门括约肌损伤修复模拟教育课程的挑战
Pub Date : 1900-01-01 DOI: 10.1102/2051-7726.2022.0010
B. Kumar, R. Roberts
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引用次数: 0
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Journal of Surgical Simulation
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