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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Related Experiment Video

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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Simulation trainer for practicing emergent open thoracotomy procedures.

Allan J Hamilton1, Hannes Prescher1, David E Biffar1

  • 1Arizona Simulation Technology and Education Center, College of Medicine, University of Arizona Health Sciences Center, University of Arizona, Tucson, Arizona.

The Journal of Surgical Research
|May 12, 2015
PubMed
Summary
This summary is machine-generated.

A new, cost-effective Cardiothoracic (CT) Surgery trainer improved team performance in simulated emergent open thoracotomy (OT) procedures. This simulation training significantly reduced critical milestone times and overall procedure duration.

Keywords:
CardiothoracicMedicalSimulationSurgical educationThoracotomy

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Area of Science:

  • Medical Simulation
  • Surgical Training
  • Cardiothoracic Surgery

Background:

  • Emergent open thoracotomy (OT) is a high-risk, low-frequency procedure.
  • Simulation training is ideal for such procedures.
  • A cost-effective Cardiothoracic (CT) Surgery trainer was developed.

Purpose of the Study:

  • Assess the potential of a custom CT Surgery trainer.
  • Improve technical and interprofessional skills during simulated emergent OT.
  • Evaluate team performance in a critical care setting.

Main Methods:

  • Modified a commercial mannequin torso with artificial tissue.
  • Conducted three in situ simulations with a multidisciplinary CT team.
  • Measured time to complete five critical milestones: diagnosis, code cart arrival, thoracotomy tray arrival, incision, and defibrillation.

Main Results:

  • Average reduction of 29.5% in times to achieve critical milestones (P < 0.05).
  • Overall improvement of 40% in complete OT procedure time.
  • Procedure time improved by 7 min and 31 s from initial to final trial.

Conclusions:

  • The CT Surgery trainer is effective for improving team performance.
  • Simulation training enhances readiness for emergent bedside OT.
  • Preliminary evaluation shows utility in coronary care unit settings.