Costs and training results of an objectively validated cadaveric perfusion-based internal carotid artery injury simulation during endoscopic skull base surgery
Costs and training results of an objectively validated cadaveric perfusion-based internal carotid artery injury simulation during endoscopic skull base surgery
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DOI：
10.1002/alr.22319
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发表时间：
2019-07-01
影响因子：
6.4
通讯作者：
Wrobel, Bozena B.
中科院分区：
文献类型：
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作者：
Donoho, Daniel A.;Johnson, Cali E.;Wrobel, Bozena B.
背景 颈内动脉损伤 (ICAI) 是内镜鼻内入路 (EEA) 的一种罕见且危及生命的并发症。高保真模拟方法是存在的，但训练队列的优化、训练范式和模拟训练的成本仍然未知。方法 使用我们之前验证的高保真灌注尸体模型，参与者尝试管理模拟 ICAI。经过简短的教学视频和辅导后，重复进行模拟。训练成功被定义为在初次尝试失败后第二次尝试成功进行 ICAI 控制。测量了边际成本。结果 72名外科医生参加了标准化模拟，持续时间
Background Internal carotid artery injury (ICAI) is a rare, life-threatening complication of endoscopic endonasal approaches (EEAs). High-fidelity simulation methods exist, but optimization of the training cohort, training paradigm, and costs of simulation training remain unknown. Methods Using our previously validated, high-fidelity, perfused-cadaver model, participants attempted to manage a simulated ICAI. After a brief instructional video and coaching, the simulation was repeated. Training success was defined as successful ICAI control on the second attempt after failure on the initial attempt. Marginal costs were measured. Results Seventy-two surgeons participated in the standardized simulation, which lasted