Archives of Head and Neck Surgery
https://www.archivesheadnecksurgery.com/article/doi/10.4322/ahns.2018.0875
Archives of Head and Neck Surgery
Original Article Larynx, hypopharynx and tracheal diseases and tumors

Experimental model for percutaneous tracheostomy training

Caroline Schmiele Namur, Kassem Samir Saleh, Marianne Yumi Nakai, Alexandre Baba Suehara, Antonio Jose Gonçalves

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Abstract

Introduction: Percutaneous tracheostomy is a procedure that presents a learning curve and requires training before it can be performed safely. Objective: To propose a practical and accessible model that enables the training of this technique. Materials and Methods: The model comprises a structure composed of a wood board resting on a PVC tube. A foam block on which the pig trachea is supported is placed on this structure. A foam sheet covered with fabric is placed over the trachea to simulate the soft parts of the neck and the skin. This is a practical training model for practice of surgeons in percutaneous tracheostomy. A questionnaire on the assessment of the proposed model to each participating surgeon was applied. Results: Ten surgeons underwent training on the model: two experienced head and neck surgeons, three specialty residents, one otorhinolaryngologist, and three general surgery residents. All of them were able to perform the procedure successfully. Conclusion: The proposed simulation model presented good results when applied to surgeons, and it is a possible alternative to percutaneous tracheostomy training

Keywords

tracheostomy; training; learning.

References

1. Freeman BD. Tracheostomy update: when and how. Crit Care Clin. 2017;33(2):311- 22. PMid:28284297.

2. Mehta C, Mehta Y. Percutaneous tracheostomy. ACA. 2017;20(5):19-25. http://dx.doi.org/10.4103/0971-9784.197793.

3. Raimondi N, Vial MR, Calleja J, Quintero A, Cortés A, Celis E, Pacheco C, Ugarte S, Añón JM, Hernández G, Vidal E, Chiappero G, Ríos F, Castilleja F, Matos A, Rodriguez E, Antoniazzi P, Teles JM, Dueñas C, Sinclair J, Martínez L, von der Osten I, Vergara J, Jiménez E, Arroyo M, Rodríguez C, Torres J, Fernandez-Bussy S, Nates JL, FEPIMCTI, LACCTIN. Evidence-based guidelines for the use of tracheostomy in critically ill patients. J Crit Care. 2017;38:304-18. PMid:28103536.

4. Burrell T, Sampson B, Sundararajan K, Carter A. Percutaneous dilatational tracheostomy consensus statement. Australian New Zealand Intensive Care Society – ANZICS; 2014.

5. Massick DD, Powell DM, Price PD, Chang SL, Squires G, Forrest LA, Young DC. Quantification of the learning curve for percutaneous dilatational tracheotomy. Laryngoscope. 2000;110(2):222-8. http://dx.doi.org/10.1097/00005537-200002010-00007. PMid:10680920.

6. Petiot S, Guinot PG, Diouf M, Zogheib E, Dupont H. Learning curve for real-time ultrasound-guided percutaneous tracheostomy. Anaesth Crit Care Pain Med. 2017;36(5):279-83. PMid:27867132.

7. Cavallone LF, Vannucci A. Percutaneous tracheostomy in animal models: it’s the year of the sheep! Minerva Anestesiol. 2016;82(2):151-3. PMid:26006155.

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