Implementation of a Surgical Simulation Care Pathway Approach to Training in Emergency Abdominal Surgery.
World J Surg
; 44(3): 696-703, 2020 03.
Article
en En
| MEDLINE
| ID: mdl-31659411
ABSTRACT
BACKGROUND:
Simulation-based care pathway approach (CPA) training is a novel approach in surgical education. The objective of the present study was to determine whether CPA was feasible for training surgical residents and could improve efficiency in patients' management. A common disease was chosen acute appendicitis.METHODS:
All five junior residents of our department were trained in CPA preoperative CPA consisted in virtual patients (VPs) presenting with acute right iliac fossa pain; intraoperative CPA involved a virtual competency-based curriculum for laparoscopic appendectomy (LAPP); finally, post-operative VP were reviewed after LAPP. Thirty-eight patients undergoing appendectomy were prospectively included before (n = 21) and after (n = 17) the training. All demographic and perioperative data were prospectively collected from their medical records, and time taken from admission to management was measured.RESULTS:
All residents had performed less than 10 LAPP as primary operator. Pre- and intraoperative data were comparable between pretraining and post-training patients. Times to liquid and solid diet were significantly reduced after training [7 h (2-20) vs. 4 (4-6); P = 0.004, and 17 h (4-48) vs. 6 (4-24); P = 0.005] without changing post-operative morbidity [4 (19%) vs. 0 (0); P = 0.11] and length of stay [48 h (30-264) vs. 44 (21-145); P = 0.22].CONCLUSIONS:
CPA training is feasible in abdominal surgery. In the current study, it improved patients' management in terms of earlier oral intake.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Apendicectomía
/
Laparoscopía
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Servicio de Urgencia en Hospital
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Entrenamiento Simulado
Tipo de estudio:
Guideline
/
Observational_studies
Límite:
Adolescent
/
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
World J Surg
Año:
2020
Tipo del documento:
Article
País de afiliación:
Reino Unido