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Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
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Four different models for simulation-based training of bronchoscopic procedures.

Sissel Højsted Kronborg1,2, Dan Stieper Karbing3, Arman Arshad4

  • 1Global Clinical Affairs, Clinical Application, Ambu A/S, Baltorpbakken 13, Ballerup, 2750, Denmark. sikr@ambu.com.

BMC Pulmonary Medicine
|January 9, 2024
PubMed
Summary
This summary is machine-generated.

Comparing four flexible bronchoscopy training models, the Thiel embedded cadaver and Koken manikin best simulate anatomy. Different models excel at specific procedures like lavage and tissue sampling, guiding training choices.

Keywords:
Bronchoscopy educationFlexible bronchoscopyModelSimulationTraining

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Area of Science:

  • Medical Education
  • Pulmonology
  • Surgical Simulation

Background:

  • Flexible bronchoscopy demands advanced skills and anatomical knowledge.
  • Simulation offers patient-safe, efficient training compared to traditional methods.
  • Physical models provide cost-effective, hands-on experience with clinical equipment.

Purpose of the Study:

  • To compare the effectiveness of four distinct physical models for flexible bronchoscopy training.
  • To evaluate model suitability for specific bronchoscopic procedures including airway inspection, bronchoalveolar lavage, and tissue sampling.

Main Methods:

  • Four models were evaluated: BronchoBoy manikin, Koken manikin, human cadaver (Thiel embedded), and preserved porcine lung.
  • Seven experienced bronchoscopists performed standardized procedures on each model.
  • Performance was assessed via direct observation and participant questionnaires.

Main Results:

  • The Thiel embedded cadaver uniquely allowed instrument insertion into RB1 for all participants.
  • Bronchoalveolar lavage fluid return varied significantly, with Koken manikin and porcine lung yielding higher volumes.
  • Tissue sampling was successfully performed only on the Thiel embedded cadaver and porcine lung.

Conclusions:

  • Koken manikin and Thiel embedded cadaver offer superior anatomical simulation for bronchoscopy.
  • Koken manikin and porcine lung are best for simulating bronchoalveolar lavage.
  • Thiel embedded cadaver and porcine lung are optimal for practicing tissue sampling.