02 / Simulation training scenario for less invasive Surfactant application (LISA): A video assisted training pathway

2018 ◽  
Author(s):  
Axel Heep
Keyword(s):  
Simulation Training ◽  
Less Invasive ◽  
Video Assisted

scholarly journals Reinstating a national simulation programme in anaesthesiology during the coronavirus pandemic

2021 ◽  
pp. bmjstel-2021-000894
Author(s):  
Sinead Campbell ◽  
Sarah Corbett ◽  
Crina L Burlacu
Keyword(s):  
Simulation Training ◽  
Online Video ◽  
Safety Measures ◽  
Face To Face ◽  
Video Assisted ◽  
Simulation Based ◽  
High Standards ◽  
Strongly Agree ◽  
Training Opportunities ◽  
Simulation Programme

BackgroundWith the introduction of strict public health measures due to the coronavirus pandemic, we have had to change how we deliver simulation training. In order to reinstate the College of Anaesthesiologists Simulation Training (CAST) programme safely, we have had to make significant logistical changes. We discuss the process of reopening a national simulation anaesthesiology programme during a pandemic.MethodsWe approached how to reinstate the programme with three distinct but intertwined projects, as in the following: (1) a survey of effects of the pandemic on training opportunities for anaesthesiology trainees, (2) proposals for methods of reinstating simulation were developed under the headings avoidance, compromise, accommodation and collaboration. A small online video-assisted simulation pilot was carried out to test the compromise method, (3) having opted for combined accommodation (onsite with smaller participant numbers and safety measures) and collaboration (with other regional centres), a postreinstatement evaluation during a 4-month period was carried out.Results(1) Eighty-five per cent of 64 trainees surveyed felt that they had missed out not only just on simulation-based education (43%) but also on other training opportunities, (2) when five trainees were asked to state on a 1 to 5 Likert scale (strongly disagree, disagree, undecided, agree and strongly agree) whether online video-assisted simulation was similar to face-to-face simulation in four categories (realism, immersion, sense of crisis and stress), only 9 (45%) of the 20 answers agreed they were similar, (3) When onsite simulation was reinstated, the majority of trainees felt that training was similar to prepandemic and were happy to continue with this format.ConclusionIn order to reinstate simulation, we have identified that accommodation and collaboration best suited the CAST while compromise failed to rank high among trainees’ preferences. Onsite courses will continue to be delivered safely while meeting the high standards our trainees have come to expect.

Simulation training in video-assisted urologic surgery

2006 ◽  
Vol 7 (2) ◽  
pp. 107-113 ◽  
Author(s):  
András Hoznek ◽  
Laurent Salomon ◽  
Alexandre de la Taille ◽  
René Yiou ◽  
Dimitrios Vordos ◽  
...  
Keyword(s):  
Simulation Training ◽  
Urologic Surgery ◽  
Video Assisted

scholarly journals Step-up approach for the management of pancreatic necrosis: a review of the literature

2019 ◽  
Vol 4 (1) ◽  
pp. e000308 ◽  
Author(s):  
Melanie Kay Sion ◽  
Kimberly A Davis
Keyword(s):  
Inflammatory Response ◽  
Treatment Strategy ◽  
Percutaneous Drainage ◽  
Pancreatic Necrosis ◽  
Necrotizing Pancreatitis ◽  
Endoscopic Drainage ◽  
Review Of The Literature ◽  
Less Invasive ◽  
Video Assisted ◽  
Optimal Treatment Strategy

Infected necrotizing pancreatitis is a challenging condition to treat because of the profound inflammatory response these patients undergo which can then be exacerbated by interventions. Treatment of this condition has evolved in timing of intervention as well as method of intervention and includes less invasive options for treatment such as percutaneous drainage and endoscopic drainage, in addition to less invasive endoscopic and video-assisted or laparoscopic debridements. The precise optimal treatment strategy for these patients is an ongoing topic of discussion and may be different for each patient as this is a heterogenous condition.

scholarly journals Use of CO2 in video assisted thoracic surgery and single-lumen endotracheal tube—a new less invasive approach

2017 ◽  
Vol 9 (4) ◽  
pp. 903-906 ◽  
Author(s):  
Javier Gallego-Poveda ◽  
Nuno Carvalho Guerra ◽  
Catarina Carvalheiro ◽  
Hugo Ferreira ◽  
André Sena ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Endotracheal Tube ◽  
Invasive Approach ◽  
Video Assisted Thoracic Surgery ◽  
Less Invasive ◽  
Video Assisted ◽  
Single Lumen ◽  
Less Invasive Approach

scholarly journals Introducing Less-Invasive Surfactant Administration into a Level IV NICU: A Quality Improvement Initiative

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 580
Author(s):  
Steven M. Conlon ◽  
Allison Osborne ◽  
Julie Bodie ◽  
Jaime Marasch ◽  
Rita M. Ryan ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Quality Improvement ◽  
Literature Review ◽  
Gestational Age ◽  
Simulation Training ◽  
Project Planning ◽  
Quality Improvement Initiative ◽  
Less Invasive ◽  
The Us ◽  
Surfactant Administration

Less-invasive surfactant administration (LISA), a newer technique of delivering surfactant via a thin catheter, avoids mechanical ventilation. LISA has been widely adopted in Europe but less so in the US. Our goal was to increase the percentage of surfactant delivered via LISA from 0% to 51% by 12/2020. Project planning and literature review started 12/2019, and included a standardized equipment kit and simulation training sessions. We began Plan–Do–Study–Act (PDSA) cycles in 6/2020. Initial exclusions for LISA were gestational age (GA) <28 weeks (w) or ≥36 w, intubation in the delivery room, or PCO2 >70 if known; GA exclusion is now <25 w. From 6 to 12/2020, 97 patients received surfactant, 35 (36%) via LISA. When non-LISA-eligible patients were excluded, 35/42 (83%) received LISA successfully. There were only 2/37 patients for whom LISA was not able to be performed. Three LISA infants required mechanical ventilation in the first week of life. Sedation remained an initial challenge but improved when sucrose was used routinely. LISA was safely and successfully introduced in our NICU.

scholarly journals Uniport vs. multiport video-assisted thoracoscopic surgery for anatomical lung resection—which is less invasive?

2021 ◽  
Vol 13 (1) ◽  
pp. 244-251
Author(s):  
Natsumi Matsuura ◽  
Hitoshi Igai ◽  
Fumi Ohsawa ◽  
Tomohiro Yazawa ◽  
Mitsuhiro Kamiyoshihara
Keyword(s):  
Thoracoscopic Surgery ◽  
Lung Resection ◽  
Less Invasive ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

A review of participant satisfaction, stress and anxiety associated with video assisted feedback in simulation based medical education

2018 ◽  
pp. 1-5
Keyword(s):  
Medical Education ◽  
Simulation Training ◽  
Intervention Studies ◽  
Clinical Situation ◽  
Affective Domain ◽  
Learning Activity ◽  
Participant Satisfaction ◽  
Video Assisted ◽  
Simulated Environment ◽  
Simulation Based

Simulation acts as a replication of components of a clinical situation and allows a learner to practice in an ‘artificial’ and controlled simulated environment with guided exposure. Feedback of the trainee’s performance during and after the simulation activity is an essential component of simulation training. The affective domain (how participants feel) is the most often neglected domain in higher education but can be used to assess the effect of a learning activity or intervention. Studies suggest participant satisfaction with, and perception of, simulation training was enhanced by video assisted feedback of their performance. Although studies have established a link between simulation training and stress/anxiety this association has not been investigated to determine whether VAF results in a beneficial level of stress and anxiety or a detrimental level.

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