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如何在家制作一个主动脉根部置换模拟器。

How to make an aortic root replacement simulator at home.

作者信息

Shaikhrezai Kasra, Khorsandi Maziar, Brackenbury Edward T, Prasad Sai, Zamvar Vipin, Butler John, Berg Geoffrey

机构信息

Department of Cardiac Surgery, Golden Jubilee National Hospital, Glasgow, UK.

Department of Cardiac Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.

出版信息

J Cardiothorac Surg. 2015 Feb 6;10:18. doi: 10.1186/s13019-015-0223-z.

DOI:10.1186/s13019-015-0223-z
PMID:25655133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4323132/
Abstract

There is a paucity of low-fidelity and cost-efficient simulators for training cardiac surgeons in the aspects of aortic root/valve replacement. In this study we addressed this training challenge by creating a low-fidelity, low-cost but, at the same time, anatomically realistic aortic root replacement simulator for training purposes. We used readily available, low cost materials such as lint roller tubes, foam sheet, press-and-seal bags, glue, plywood sheet, heat-shrink sleeving tubes and condoms as the basic material to create a low-fidelity, aortic root, training simulator. We constructed a multi-purpose, anatomically realistic aortic root simulator using the above materials, both time- and cost-efficiently, using the minimum of surgical equipment. This simulator is easy to construct and enables self-training in major techniques of aortic root replacement as well as in stentless valve implantation for trainees in cardiac surgery.

摘要

在主动脉根部/瓣膜置换方面,用于培训心脏外科医生的低保真且经济高效的模拟器较为匮乏。在本研究中,我们通过创建一个低保真、低成本但同时在解剖结构上逼真的主动脉根部置换模拟器来应对这一培训挑战。我们使用如粘尘滚筒管、泡沫板、按压密封袋、胶水、胶合板、热缩套管和避孕套等容易获得的低成本材料作为基础材料,制作了一个低保真的主动脉根部培训模拟器。我们利用上述材料,高效地构建了一个多用途、解剖结构逼真的主动脉根部模拟器,所需手术设备最少,既节省时间又降低成本。该模拟器易于构建,能够让心脏外科实习医生自主训练主动脉根部置换的主要技术以及无支架瓣膜植入技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eec4/4323132/ef82ac74c123/13019_2015_223_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eec4/4323132/aca715c9af33/13019_2015_223_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eec4/4323132/ef82ac74c123/13019_2015_223_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eec4/4323132/aca715c9af33/13019_2015_223_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eec4/4323132/ef82ac74c123/13019_2015_223_Fig2_HTML.jpg

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1
How to make an aortic root replacement simulator at home.如何在家制作一个主动脉根部置换模拟器。
J Cardiothorac Surg. 2015 Feb 6;10:18. doi: 10.1186/s13019-015-0223-z.
2
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Aortic Valve Repair: A Portable, Low-Cost Simulator.主动脉瓣修复:一种便携式低成本模拟器
Ann Thorac Surg Short Rep. 2022 Nov 24;1(1):61-64. doi: 10.1016/j.atssr.2022.11.011. eCollection 2023 Mar.
2
Filipino nursing students' use of low-cost simulators during the COVID-19 pandemic: A summative content analysis of YouTube videos.菲律宾护理专业学生在新冠疫情期间对低成本模拟器的使用:YouTube视频的总结性内容分析
Teach Learn Nurs. 2023 Jan;18(1):134-143. doi: 10.1016/j.teln.2022.08.003. Epub 2022 Aug 19.
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A low-cost bioprosthetic semilunar valve for research, disease modelling and surgical training applications.

本文引用的文献

1
What are the barriers to training residents in aortic root surgery?培训住院医师进行主动脉根部手术的障碍有哪些?
J Heart Valve Dis. 2013 Nov;22(6):776-81.
2
Simulation-based medical teaching and learning.基于模拟的医学教学与学习。
J Family Community Med. 2010 Jan;17(1):35-40. doi: 10.4103/1319-1683.68787.
3
The utility of simulation in medical education: what is the evidence?模拟在医学教育中的效用:证据是什么?
一种用于研究、疾病建模和外科手术训练应用的低成本生物人工半月瓣。
Interact Cardiovasc Thorac Surg. 2017 Nov 1;25(5):785-792. doi: 10.1093/icvts/ivx189.
Mt Sinai J Med. 2009 Aug;76(4):330-43. doi: 10.1002/msj.20127.
4
Patient safety, competency, and the future of surgical simulation.患者安全、能力与手术模拟的未来。
Simul Healthc. 2006 Fall;1(3):164-70. doi: 10.1097/01.sih.0000244453.20671.f2.