Gastélum-Hernández G, Medina-Aguirre JA, Trujillo-López S, Peralta-Ramírez AA

Language: Spanish
References: 12
Page: 35-40
PDF size: 250.13 Kb.

ABSTRACT

Introduction: Cardiopulmonary diseases are among the main causes of mortality in the world. Adequate diagnosis of these conditions requires an optimal level of competence in thoracic physical examination, particularly in cardiopulmonary auscultation, where learning by means of low-cost clinical simulators has shown favorable results. Objective: To present a low-cost chest auscultation simulator for replication by any user. Material and methods: A functional heart and lung sound auscultation simulator was completed and developed, consisting of an artificial skin based on gelatin and glycerin, an electronic circuit capable of reproducing 18 independent and synchronous cardiopulmonary sounds, and a configurable software. Subsequently, the simulator was evaluated by a group of experts through a Likert-type survey made up of 12 items. Results: The evaluation group presented a favorable attitude in 91% in morphology-functionality, 84% in sound quality and 100% in relation to learning. Conclusion: Learning based on clinical simulators is an effective tool for the development of clinical competencies in health professionals. The design and elaboration of non-commercial and low-cost simulators benefit the learning of clinical skills without representing great costs.

REFERENCES

1. Instituto Nacional de Estadística, Geografía e Informática. Características de las defunciones registradas en México durante 2020. México. 2021.

2. Tokuda Y, Matayoshi T, Nakama Y, Kurihara M, Suzuki T, Kitahara Y et al. Cardiac auscultation skills among junior doctors: effects of sound simulation lesson. Int J Med Educ. 2020; 11: 107-110. doi: 10.5116/ijme.5eb6.70c6.

3. McKinney J, Cook DA, Wood D, Hatala R. Simulation-based training for cardiac auscultation skills: systematic review and meta-analysis. J Gen Intern Med. 2013; 28 (2): 283-291.

4. Quinn A, Kaminsky J, Adler A, Eisner S, Ovitsh R. Cardiac Auscultation Lab Using a Heart Sounds Auscultation Simulation Manikin. MedEdPORTAL. 2019; 15: 10839. doi: 10.15766/mep_2374-8265.10839.

5. Mangione S, Nieman LZ, Gracely E, Kaye D. The teaching and practice of cardiac auscultation during internal medicine and cardiology training. Ann Intern Med. 1993; 119 (1): 47-54.

6. Bertrand Z, Segall K, Sánchez D, Bertrand N. La auscultación pulmonar en el siglo 21. Rev Chil Pediatr. 2020; 91 (4): 500-506.

7. Birdane A, Yazici HU, Aydar Y et al. Effectiveness of cardiac simulator on the acquirement of cardiac auscultatory skills of medical students. Adv Clin Exp Med. 2012; 21 (6): 791-798.

8. Palma-Guerra C, Cifuentes-Leal MJ, Espoz-Lara P et al. Relación entre formación docente en metodología de simulación clínica y satisfacción usuaria en estudiantes de pregrado de carreras de salud. Simulación Clínica. 2020; 2 (3): 133-139.

9. Garre-Baños N, Díaz-Agea JL. Aprendizaje bidireccional y perfil pedagógico del facilitador en metodología de autoaprendizaje en entornos simulados (MAES©). Un estudio cualitativo exploratorio. Simulación Clínica. 2020; 2 (3): 106-132.

10. Jarry C, Vidal C, Varas J et al. Evaluación de la retención del aprendizaje obtenido mediante simulación en competencias procedimentales transversales. Simulación Clínica. 2019; 1 (3): 123-128.

11. Jiménez-Ángeles L, Rosario-Rojas A, Viaña-Fragoso SA. Diseño de un simulador de paciente para auscultación cardiaca. Simulación Clínica. 2020; 2 (3): 147-154.

12. Sánchez-Vásquez U, Daniel-Guerrero AB, Méndez-Gutiérrez E et al. Diseño, elaboración y validación de un simulador realista y de bajo costo para exploración cardiaca. Gaceta Médica de México. 2021; 157 (1): 25-29.