Journal article
Establishing a Multidisciplinary Cavernous Carotid Injury Simulation to Train Neurosurgical, Otolaryngology, and Anesthesia Residents
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS, Vol.175, e56403
09/01/2021
DOI: 10.3791/56403
PMCID: PMC8462993
PMID: 34542530
Abstract
Carotid artery injuries are serious complications of endoscopic endonasal surgery. As these occur rarely, simulation training offers an avenue for technique and algorithm development in resident learners. This study develops a realistic cadaveric model for the training of crisis resource management in the setting of cavernous carotid artery injury. An expanded endonasal approach and right cavernous carotid injury is performed on a cadaveric head. The cadaver's right common carotid artery is cannulated and connected to a perfusion pump delivering pressurized simulated blood. A simulation mannequin is incorporated into the model to allow for vital sign feedback. Surgical and anesthesia resident learners are tasked with obtaining vascular control with a muscle patch technique and medical management over the course of 3 clinical scenarios with increasing complexity. Crisis management instructions for an endoscopic endonasal approach to the cavernous carotid artery and blood pressure control were provided to the learners prior to beginning the simulation. An independent reviewer evaluated the learners on communication skills, crisis management algorithms, and implementation of appropriate skill sets. After each scenario, residents were debriefed on how to improve technique based on evaluation scores in areas of situational awareness, decision-making, communications and teamwork, and leadership. After the simulation, learners provided feedback on the simulation and this data was used to improve future simulations. The benefit of this cadaveric model is ease of set-up, cost-effectiveness, and reproducibility.
Details
- Title: Subtitle
- Establishing a Multidisciplinary Cavernous Carotid Injury Simulation to Train Neurosurgical, Otolaryngology, and Anesthesia Residents
- Creators
- Brandon Lucke-Wold - West Virginia UniversityHaley E. Gillham - Oregon Health & Science UniversityMark Baskerville - Anesthesiology & Perioperative MedicineWilliam E. Cameron - Oregon Health & Science UniversityDawn Dillman - Anesthesiology & Perioperative MedicineCaleb A. Haley - Oregon Health & Science UniversityMichele Noles - Anesthesiology & Perioperative MedicineDonn Spight - Oregon Health & Science UniversityJeremy N. Ciporen - Oregon Health & Science University
- Resource Type
- Journal article
- Publication Details
- JOVE-JOURNAL OF VISUALIZED EXPERIMENTS, Vol.175, e56403
- Publisher
- Journal Of Visualized Experiments
- DOI
- 10.3791/56403
- PMID
- 34542530
- PMCID
- PMC8462993
- ISSN
- 1940-087X
- eISSN
- 1940-087X
- Number of pages
- 14
- Grant note
- R25 NS108939 / NINDS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
- Language
- English
- Date published
- 09/01/2021
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296154602771
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