Issue |
J Extra Corpor Technol
Volume 54, Number 3, September 2022
|
|
---|---|---|
Page(s) | 250 - 254 | |
DOI | https://doi.org/10.1051/ject/202254250 | |
Published online | 15 September 2022 |
Case Reports
Interprofessional Simulation in Cardiothoracic Surgery Improves Team Confidence
* Methodist Physicians Clinic, Cardiothoracic Surgery, Omaha, Nebraska;
† University of Nebraska, Department of Anesthesiology, Omaha, Nebraska; and
‡ Nebraska Methodist Hospital, Perfusion Department, Omaha, Nebraska
Address correspondence to: HelenMari Merritt-Genore, DO, Methodist Physicians Clinic, 1120 N 103rd Plz, Omaha, NE 68114. E-mail: helenmari.merritt@gmail.com
Received:
19
May
2022
Accepted:
17
August
2022
Interest in simulation has grown substantially, as has enthusiasm for team-based approaches to surgical training. In cardiothoracic surgery, the dynamic ability of the entire team is critical to emergent events. We developed innovative, interprofessional simulation events to improve team confidence. Two separate simulations event replicating critical steps and potential crises of cardiopulmonary bypass (CPB) were attended by members of the multidisciplinary cardiothoracic team. Standard CPB equipment, echocardiography, an app to control vital signs, and typical operating room tools for cannulation were all used. Participant started at their typical roles, then rotated into unfamiliar roles for subsequent simulations. Survey and Likert scale self-assessment tools were used to determine outcomes. Statistical analysis compared results. Two separate events were attended by a total of 37 team members (17 facilitators and 20 participants). Participants rotated roles through 12 routine and high-risk scenarios for instituting and separating from CPB. Participant evaluation results were highly favorable, with requests for further similar events. Objectively, the mean score for self-assessment rose significantly comparing the pre- and post-simulation assessments. Despite a small sample size, these differences did reach statistical significance in two categories: iatrogenic dissection (p 0.008), and emergent return to CPB (p 0.016). In our experience, high-fidelity interprofessional simulation promoted team communication and confidence for key scenarios related to institution of and separation from CPB.
Key words: CPB / complications / education / aortic dissection / surgery / complications.
© 2022 AMSECT
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