Simulador sintético de baixo custo para treinamento em cricotireoidostomia para acadêmicos de medicina
DOI:
https://doi.org/10.34019/1982-8047.2024.v50.44393Keywords:
Tecnologia de Baixo Custo, Educação Médica, Treinamento por Simulação, Procedimentos Cirúrgicos Torácicos, Manuseio das Vias AéreasAbstract
ABSTRACT:
Introduction: Cricothyroidotomy allows the airway to be secured in an emergency, and its domain is fundamental to clinical practice. Simulators have proven effectiveness in training and are important tools in medical training. This study aimed to create and use a low-cost simulator for use in training in cricothyroidotomy. Materials and Methods: The simulators were made using: Wooden Board; PVC Trachea Tube; Plastic PVC Film; Foam; Plastic Larynx anatomical model; Cookie dough; Synthetic leather in Pink Latex; Head Pins; Elastic bladder; Contact Glue; totaling a cost of 30 reais per unit. The PVC trachea piece was attached to the lower portion of the laryngeal mold. PVC film was used to simulate the cricothyroid membrane. Inferiorly, an elastic bladder was connected to the trachea, simulating the lungs. This system was coupled to a foam piece, which was glued to a wooden board. Superficially, with head pins, a layer of foam was fixed on top of a strip of pink smarch care, simulating the subcutaneous tissue and the skin. After preparation, the students each performed three procedures, these being surgical cricothyroidotomy, puncture cricothyroidotomy and guidewire cricothyroidotomy. Discussion and Results: The development of low-cost models is extremely important for the education and training of doctors, since most procedure simulators are extremely expensive. The creation of a low-cost model allows the practice to be consolidated, through repetition of the procedure, while there is considerable practicality and the use of easily accessible materials for its construction. Conclusion: The developed prototype has low cost, good anatomical and functional fidelity, allowing the training of medical students to perform cricothyroidotomy.
Downloads
References
Hsiao J, Pacheco-Fowler V. Cricothyroidotomy. N Engl J Med. 2008; 358(22):e25. doi: 10.1056/NEJMvcm0706755
Bushra JS, McNeil B, Wald DA, Schwell A, Karras DJ. A comparison of trauma intubations managed by anesthesiologists and emergency physicians. Acad Emerg Med. 2004; 11(1):66-70. doi: 10.1197/j.aem.2003.08.01
Campos MCG, Senger MH. O trabalho do médico recém-formado em serviços de urgência. Rev Soc Bras Clín Méd. 2013; 11(4):355-9
Denadai R, Souto LRM. Organic bench model to complement the teaching and learning on basic surgical skills. Acta Cir Bras. 2012; 27(1):88-94. doi: 10.1590/s0102-86502012000100015
Iglesias AG, Pazin-Filho A. Emprego de simulações no ensino e na avaliação. Medicina (Ribeirão Preto). 2015; 48(3):233-40. doi: 10.11606/issn.2176-7262.v48i3p233-240
Cook DA, Brydges R, Hamstra SJ, Zendejas B, Szostek JH, Wang AT et al. Comparative effectiveness of technology-enhanced simulation versus other instructional methods. simulation in healthcare. Simul Healthc. 2012; 7(5):308-20. doi: 10.1097/SIH.0b013e3182614f95
Urdiales A, Gabriela TS, Camila RG, Cecilia HY, Kassio ST, Abreu P et al. Surgical cricothyroidostomy: analysis and comparison between teaching and validation models of simulator models. Rev Col Bras Cir. 2020; 47:e20202522. doi: 10.1590/0100-6991e-20202522
Bjerrum F, Thomsen ASS, Nayahangan LJ, Konge L. Surgical simulation: Current practices and future perspectives for technical skills training. Med Teach. 2018; 40(7):668-75. doi: 10.1080/0142159x.2018.1472754
Moglia A, Ferrari V, Morelli L, Ferrari M, Mosca F, Cuschieri A. A systematic review of virtual reality simulators for robot-assisted surgery. Eur Urol. 2016; 69(6):1065-80. doi: 10.1016/j.eururo.2015.09.021
Johnston MJ, Paige JT, Aggarwal R, Stefanidis D, Tsuda S, Khajuria A et al. An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. Am J Surg. 2016; 211(1):214-25. doi: 10.1016/j.amjsurg.2015.06.014
School Health. AEDs & CPR: all products. Rolling Meadows: [202-] [citado em 2024 abr. 2024]. Disponível em: https://www.schoolhealth.com/all-products/aeds-cpr
So HY, Chen PP, Wong GKC, Chan TTN. Simulation in medical education. J R Coll Physicians Edinb. 2019; 49(1):52-7. doi: 10.4997/jrcpe.2019.112
Okuda Y, Bryson EO, DeMaria S, Jacobson L, Quinones J, Shen B et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009; 76(4):330-43. doi: 10.1002/msj.20127
Denadai R, Saad-Hossne R, Todelo AP, Kirylko L, Souto LRM. Low-fidelity bench models for basic surgical skills training during undergraduate medical education. Rev Col Bras Cir. 2014; 41(2):137-45. doi: 10.1590/s0100-69912014000200012
Aeckersberg G, Gkremoutis A, Schmitz-Rixen T, Kaiser E. The relevance of low-fidelity virtual reality simulators compared with other learning methods in basic endovascular skills training. J Vasc Surg. 2019; 69(1):227-35. doi: 10.1016/j.jvs.2018.10.047
Anselmo NA, Cazon KMJ, Pinto ACS, Guerra Junior ACM, Costa CDS, Raphe R. Modelo sintético de traqueia para a realização de traqueostomia e cricotireoidostomia: melhorando as opções de treinamento com alternativa de baixo custo para o ensino na graduação médica. Rev Med. 2018; 97(1):24-9. doi: 10.11606/issn.1679-9836.v97i1p24-29
Macêdo MB, Guimarães RB, Ribeiro SM, Sousa KMMD. Emergency cricothyrotomy: temporary measure or definitive airway? A systematic review. Rev Col Bras Cir. 2016; 43(6):493-9. doi: 10.1590/0100-69912016006010
Lockwood J, Desai N. Central venous access. Br J Hosp Med (Lond). 2019; 80(8):C114-C119. doi: 10.12968/hmed.2019.80.8.C114
Sulaiman L, Tighe SQM, Nelson RA. Surgical vs wire-guided cricothyroidotomy: a randomised crossover study of cuffed and uncuffed tracheal tube insertion. Anaesthesia. 2006; 61(6):565-70. doi: 10.1111/j.1365-2044.2006.04621.x
Ozkaya Senuren C, Yaylaci S, Kayayurt K, Aldinc H, Gun C, Şimşek P et al. Developing cricothyroidotomy skills using a biomaterial-covered model. Wilderness Environ Med. 2020; 31(3):291-7. doi: 10.1016/j.wem.2020.05.003
Villanueva C, Xiong J, Rajput S. Simulation‐based surgical education in cardiothoracic training. ANZ J Surg. 2020; 90(6):978-83. doi: 10.1111/ans.15593
Asselin M, Lafleur A, Labrecque P, Pellerin H, Tremblay M-H, Chiniara G. Simulation of adult surgical cricothyrotomy for anesthesiology and emergency medicine residents: adapted for COVID-19. MedEdPORTAL. 2021; 17:11134. doi: 10.15766/mep_2374-8265.11134
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Fabrício Júnio Mendes Santos, Abner Ramos de Castro, Vinicius Moreira de Souza, Maura Furtado Barbosa Felipe, Mariana Lima Crispi Carneiro, Marcus da Matta Abreu, Juliana Dias Nascimento Ferreira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Cessão de Primeira Publicação à HU Revista
Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.