Synthetic Simulator for Surgical Training in Tracheostomy and Open Airway Surgery.

OBJECTIVE(S): To create and validate a synthetic simulator for teaching tracheostomy and laryngotracheal reconstruction (LTR) using anterior costal cartilage and thyroid ala cartilage grafts. METHODS: A late adolescent/adult neck and airway simulator was constructed based on CT scans from a cadaver and a live patient. Images were segmented to create three-dimensional printed molds from which anatomical parts were casted. To evaluate the simulator, expert otolaryngologists - head and neck surgeons performed tracheostomy and LTR using anterior costal cartilage and thyroid ala cartilage grafts on a live anesthetized porcine model (gold standard) followed by the synthetic simulator. They evaluated each model for face validity (realism and anatomical accuracy) and content validity (perceived effectiveness as a training tool) using a five-point Likert scale. For each expert, differences for each item on each simulator were compared using Wilcoxon Signed-Rank tests with Sidak correction. RESULTS: Nine expert faculty surgeons completed the study. Experts rated face and content validity of the synthetic simulator an overall median of 4 and 5, respectively. There was no difference in scores between the synthetic model and the live porcine model for any of the steps of any of the surgical procedures. CONCLUSION: The synthetic simulator created for this study has high face and content validity for tracheostomy and LTR with anterior costal cartilage and thyroid ala cartilage grafts and was not found to be different than the live porcine model for these procedures. LEVEL OF EVIDENCE: 5 Laryngoscope, 131:E2378-E2386, 2021.

Estrategias de identificación de planteamientos alternativos a la experimentación animal / Strategies for the identification of alternative approaches to animal experimentation

Los investigadores deben asegurarse de que la información que podrían obtener con su experimentación no está ya disponible, que no existe otro procedimiento para llevarlo a cabo sin emplear animales y que el protocolo se ha diseñado teniendo en cuenta consideraciones de protección animal. Sin embargo, la identificación de procedimientos alternativos empleados por otros científicos sigue siendo un proceso muy complejo, debido, sobre todo, a la deficiente indexación de las publicaciones en las bases de datos bibliográficas. Una búsqueda eficiente debe basarse en emplear siempre varias bases de datos, en revisar al menos los documentos de los últimos 5-10 años. En primer lugar debe evitarse la duplicación inútil de investigaciones, es decir, asegurarse de que la información que pudiera obtenerse en el estudio no está ya disponible. A continuación se realiza la búsqueda de posibles alternativas de reemplazo. Si ésta no fuera productiva, se identificarían alternativas de reducción y refinamiento, tratando de mejorar, en lo posible, cada una de las fases de la experimentación animal. Los estudios toxicológicos de finalidad reguladora presentan la exigencia de utilizar protocolos oficiales, por lo que deben localizarse en sus directorios específicos. Las alternativas en la enseñanza y entrenamiento, como los modelos mecánicos, audiovisuales y de simulación, se encuentran recogidas en bases de datos específicas. Finalmente, cuando no se encuentran opciones válidas en otras fuentes, es posible recurrir a expertos, tanto directamente como en foros especializados. Todo ello se facilita con el buscador Buscaalternativas.com (http://buscaalternativas.com) (AU)

The researchers should be sure that the information obtainable with the experiments is not yet available, that there is no other possible procedure without the use of animals or that the protocol was designed taking into account animal protection considerations. However, the identification of alternative procedures employed by other scientists is a very complex process, mainly due to the deficient indexation of the articles. An efficient search must be based on the use of several data bases and the review of documents of the last 5-10 years. The search strategy presents several phases. Firstable, the unnecessary duplication of studies should be avoided, assuring the information obtainable in the study is not yet available. A search for replacement alternatives is then carried out. If it is not productive, reduction and refinement alternatives are identified to improve every phase of animal research. Toxicological regulatory studies must use official protocols, which should be localized in specific directories. Alternatives in education and training, including mechanical models, audiovisuals and simulations are included in specific databases. Finally, when no valid options are found in other sources, it is possible to ask experts, directly or through specialized debate lists. The procedure is facilitated thanks to the Web Buscaalternativas.com (http://buscaalternativas.com) (AU)

[Development and application of the experimental apparatus of animal crush injury].

According to the needs of clinical study about the treatment for the crush injury, a special experimental apparatus was developed for the small animal crush injury. There are kinds of characters for this conductor, that is the apparatus was simple designed and can be easily used and the extruding time and weight can be exactly controlled.

[Development and research of animal experimental cabin with ATM/LP and low oxygen and high carbon dioxide].

This paper developed an experimental animal cabin with ATM/LP and low oxygen and high carbon dioxide. It is based on the unitized design of modern transmission technology, industrial measurement modules and configuration software. The cabin successfully simulated an enclosed environment of low oxygen and high carbon dioxide at constant pressure, automatically measured and controlled the concentrations of oxygen and carbon dioxide as well as temperature and humidity in the cabin for the first time. The system provided a technology platform for the equipment supporting clinical COPD study. The result is accurate, stable and reliable and can realize automatic measurement and control of cross. The clinical applications show that the cabin with accurate measurement and control is practical and reliable.