medigraphic.com
ISSN 2594-1526 (Electronic)
Antes Revista del Instituto Nacional de Enfermedades Respiratorias

 Ver anteriores al 2010

2020, Number 2

<< Back Next >>

Neumol Cir Torax 2020; 79 (2)

Ex vivo technique in a biological model for lung transplantation. A way to perform high realism simulation

Vázquez-Minero JC, Hernández-Jiménez C, Silva-Martínez M, Martínez-Cortés J, Olmos-Zúñiga JR, Baltazares-Lipp M, Pérez-López MT, Rueda-Juárez ER, Jasso-Victoria R

Language: Spanish
References: 18
Page: 78-81
PDF size: 888.59 Kb.


ABSTRACT

Pulmonary transplantation is a treatment that involves mastery of a complex surgical technique, for the specialist in training in chest surgery. One modality of preserving the lung before being transplanted is the ex vivo technique. Material and methods: In order to train the resident in this area, a biological model of pig was used to obtain the heart lung block and its connection to the living system. Results: 20 lung heart block procurements were carried out and connected to the lively system without complications, leaving them connected for two hours to assess, that the technique was correct. This significant learning modality, with a process of situated cognition, helps to improve the learning of residents in training. Conclusions: High-realism biological simulation is a very useful tool for meaningful and situated learning of thoracic surgery residents.


REFERENCES

  1. Yusen RD, Edwards LB, Kucheryavaya AY, et al.; International Society for Heart and Lung Transplantation. The Registry of the International Society for Heart and lung transplantation: thirty-first adult lung and heart-lung transplant report-2014; Focus Theme: Retransplantation. J Heart Lung Transplant 2014;33(10):1009-1014. https://doi.org/10.1016/j.healun.2014.08.004

  2. Christie JD, Edwards LB, Kucheryavaya AY, et al. The Registry of the International Society for Heart and lung transplantation: twenty-eighth adult lung and heart-lung transplant Report-2011. J Heart Lung Transplant 2011;30(10):1104-1122. https://doi.org/10.1016/j.healun.2011.08.004.

  3. Murthy SC, Gildea TR, Machuzak MS. Anastomotic airway complications after lung transplantation. Curr Opin OrganTransplant 2010;15(5):582-587. https://doi.org/10.1097/MOT.0b013e32833e3e6e

  4. Currey J, Pilcher DV, Davies A, et al. Implementation of a management guideline aimed at minimizing the severity of primary graft dysfunction after lung transplant. J Thorac Cardiovasc Surg 2010;139(1):154-161. https://doi.org/10.1016/j.jtcvs.2009.08.031

  5. Moradiellos DF, Varela UA. Perfusión ex vivo: evaluar, recuperar y optimizar pulmones humanos para trasplante. Arch Bronconeumol 2010;46(5):213-214. https://doi.org/10.1016/j.arbres.2010.02.001.

  6. Dávila CA. Simulación en educación médica. Inv Ed Med 2014;3(10):100-105.

  7. Especificaciones Técnicas para la Producción, Cuidado y Uso de Animales de Laboratorio de la Norma Oficial Mexicana NOM-062-ZOO-1999. Diario Oficial de la Federación, 6 de diciembre, 1999. Estados Unidos Mexicanos.

  8. Guía Para el Cuidado y Uso de Los Animales de Laboratorio. Department o Health and Human Services, Public Health Service, National Institutes of Health U.S.A. Edición Mexicana Auspiciada por la Academia Nacional de Medicina. México, D.F., 2002.

  9. Montero R, Vicente R. Tratado de trasplantes de órganos. Tomo II. Madrid: ARAN Publicaciones Médicas; 2006.

  10. Iñiguez GM, Jasso VR, Olmos ZR, et al. Trasplante pulmonar en un modelo experimental. Capacitación para residentes de cirugía torácica. Neumol Cir Torax 2013;72(1):25-31.

  11. Daniels H. Vigotsky y la pedagogía. Barcelona: Paidós; 2006.

  12. Díaz-Barriga AF. Cognición situada y estrategias para el aprendizaje significativo. Revista Electrónica de Investigación Educativa 2003;5(2):105-117. http://redie.ens.uabc.mx/vol5no2/contenido-arceo.html.

  13. Ruiz GJ, Martín PJ, González NM, Redondo FC, Manuel PJ. La simulación como modelo de enseñanza en cirugía. Cir Esp 2018;96(1):12-17. doi: 10.1016/j.ciresp.2017.09.005.

  14. Aggarwal R, Darzi A. Innovation in surgical education-- A driver for change. Surgeon 2011;9 Suppl 1:S30-S31. https://doi.org/10.1016/j.surge.2010.11.021.

  15. Posner J, Rusell JA, Petreson BS. The circunflex model of affect: An integrative approach to affective neuroscience, cognitive development, and pshysicopathologic. Dev Psychopatol 2005;17(3):715-734. https://doi.org/10.1017/s0954579405050340.

  16. Feldman-Barret L, Rusell J. Cicunflex model off affect. The Oxford companion to emotion and the affective. Am Psychol Soc 1999;8:10-14.

  17. Derry S, Levin J, Schauble L. Stimulating statistical thinking though situated simulations. Teaching of Psychology 1995;22(1):51-57.

  18. Akaike M, Fukutomi M, Nagamune M, et al. Simulation-based medical education in clinical skill laboratory. J Med Invest 2012;59(1-2):28-35. https://doi.org/10.2152/jmi.59.28




2020     |     www.medigraphic.com