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Updated: Jun 27, 2026

Simulator Training for Endovascular Neurosurgery
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Sengstaken-Blakemore Tube Placement: A Simulation-Based Training Program for a High-Acuity, Low-Frequency Procedure.

Carolyn Wilson1, Ceena Chandrabos2, Katie Shen3

  • 1Resident, Department of Medicine, New York University Langone Health.

Mededportal : the Journal of Teaching and Learning Resources
|June 26, 2026
PubMed
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This summary is machine-generated.

Simulation training significantly boosted provider confidence in managing Sengstaken-Blakemore tubes (SBTs) for variceal hemorrhage. This hands-on approach is crucial for improving skills in this critical, low-frequency procedure.

Area of Science:

  • Medical Education
  • Gastroenterology
  • Critical Care Medicine

Background:

  • Variceal hemorrhage from liver cirrhosis is life-threatening.
  • Sengstaken-Blakemore tubes (SBTs) are vital salvage therapy despite declining use.
  • Limited provider experience necessitates improved training.

Purpose of the Study:

  • To enhance provider familiarity and confidence with Sengstaken-Blakemore tube (SBT) placement and management.
  • To address skill gaps in a high-acuity, low-frequency procedure.

Main Methods:

  • Implemented a manikin-based simulation program for gastroenterology and critical care fellows and attendings.
  • Utilized standardized SBT kits and annual simulation sessions with didactics and hands-on practice.
  • Assessed self-reported confidence using pre- and post-session surveys and a Wilcoxon signed-rank test.
Keywords:
BlakemoreClinical/Procedural Skills TrainingCompetency-Based Medical EducationCritical Care MedicineEsophageal VaricesGastroenterologyQuality Improvement/Patient SafetySimulation

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Main Results:

  • 54 participants completed the 2023 training.
  • Prior to training, 20% had formal instruction and 39% had never placed an SBT.
  • Confidence significantly increased in SBT placement (3.00-4.30), management (1.78-4.31), and removal (2.17-4.43).

Conclusions:

  • Simulation-based training effectively improved self-reported confidence in SBT procedures.
  • Structured training is vital for bridging knowledge and skill gaps in critical care procedures.
  • Future research should evaluate long-term skill retention and curriculum integration.