Surgeons at Massachusetts General Hospital have four minutes to save this gunshot wound victim. So how do residents learn such a risky procedure? With a little help from Hollywood.
By EMMA COTT and BEN LAFFIN, Published November 9, 2015.
By Karen Weintraub
“BOSTON — The patient’s blood pressure had reportedly crashed in the ambulance; a gunshot wound had damaged the heart. In the operating room, a medical resident, Dr. Dan Hashimoto, slid a knife into the patient’s chest and sliced horizontally, from the sternum across the torso.
He thrust his hand into the gash, grasped the beating heart and squeezed …“
Chapel Hill, NC
The Chamberlain Group was again honored to contribute products for this intensive course for incoming cardiothoracic surgery residents. With the use of simulation, the course provides training and hands-on practice in the latest cardiothoracic surgical techniques, allowing residents to
be better prepared when entering the operating room in their home programs. At the invitation of the TSDA Boot Camp program directors, The Chamberlain Group provided Heart Cases and Vessels. Our versatile Heart Case trainer allows for repeat practice of a variety of skills including coronary artery bypass grafting (both proximal and distal anastomoses), aortic cannulation, end-to-side anastomosis on small vessels, and mitral valve procedures.
“‘New cardiothoracic surgery residents gain an intense experience in the specialty, under the watchful eyes of top surgeons from across the country,’ said Jonathan C. Nesbitt, MD, a Boot Camp program director from Vanderbilt University in Nashville, Tenn. ‘This experience leaves a lasting impression and provides the residents with the ability to learn in a controlled, low-stress environment. Such an experience cannot be matched.’”
On behalf of TSDA, we would like to thank The Chamberlain Group for its generous contribution of equipment and supplies to the 2015 TSDA Boot Camp…. The Chamberlain Group’s role as a product supplier was essential to the program’s overwhelming success, a
nd your support is deeply appreciated.
— George L. Hicks, Jr. MD., James I. Fann, MD, Richard H. Feins, MD,
Nahush Mokadam, MD. and Jon Nesbitt, MD. Boot Camp Program Directors
Cannulatable and suturable new beating heart, offered with or without CABG sites for off-pump or arrested heart anastomotic procedures, allows for antegrade cardioplegia introduction. Developed as an upgrade to our Perfusion Beating Heart Trainer.
A highly detailed, mimetic tissue heart model with extended vasculature and accessible atrial appendages, our Cannulatable Larger Beating Heart is sized to represent a typical patient in the clinical population. The Right Atrium and Aorta are suturable, cannulatable and can be easily replaced. A vent in the Aortic Root allows for antegrade cardioplegia introduction. The heart can be provided with CABG sites for off-pump or arrested heart anastomotic procedures.
The Perfusion Beating Heart Trainer as an adjunct to, and informed by, a perfusion simulator, physically reproduces the movement and rhythm of the cardiopulmonary system. It allows control of fluid flow between arterial and venous cannulae as well as air flow and cessation of flow to the lungs. Perfusion Beating Heart Trainer consists of a detailed, mimetic tissue beating heart within an anatomical torso representing a fully retracted sternotomy. Lungs and airway are also included.
The visual and tactile stimuli our trainer provides aim to improve clinical skills retention in trainees. Interaction between the surgical team, anesthesiologist and perfusionist in this real-time, immersive learning experience fosters the development of teamwork and communication skills along with clinical facility.
By Jon Christian
Globe Correspondent
In an operating theater deep in Boston Children’s Hospital, surrounded by state-of-the-art medical equipment, a surgical team is on the brink of losing a young patient. Their goal was to locate and repair a perforation in the bowel, but something’s gone wrong: The liver is bleeding uncontrollably, and if they can’t staunch the source, the patient’s chances are grim.
Someone calls a code blue, indicating cardiac arrest, and a crash cart appears as a heart monitor reaches a fever pitch. And then, just as suddenly, Dr. Peter Weinstock interrupts and a startling calm replaces the crisis atmosphere.
“OK, guys, we’re going to pause right now,” Weinstock called out to the surgical team. “We’re going to head back to do our last debriefing.”
Weinstock is director of Boston Children Hospital’s Simulator Program, and his current “baby’’ on the operating table is a sophisticated medical mannequin that provides surgical teams with an immersive training environment.
The child-sized mannequin is named Surgical Sam. Under its skin, which surgeons cut into with real scalpels, are facsimile bones, organs, and fluids made from plastic and other synthetic materials that approximate human tissues and liquids. Like a real child, Sam breathes and has a heartbeat, and, if you nick an artery, bleeds synthetic red blood. ►link to full article.
Accommodates porcine explants for skills development in thoracoscopic lobectomy and lung resection in a realistic human thoracic context for lifelike VATS training.
Derived from patient CT data, the VATS Trainer for Explants Left-Sided is a hemi-thorax with all pertinent landmarks for thoracoscopic lung surgeries. The trainer presents a patient in a lateral decubitus position with exposed anterior and posterior thoracic wall. The replaceable skin/muscle element supports trocars and is comprised of our renowned mimetic tissue. Ribs may be palpated beneath the soft tissue for procedural port placement. The trainer is equipped with a tray to capture tissue effluence and is easily disassembled for cleaning.
Trainer Includes:
Rigid hemi-thorax in lateral decubitus position providing a shoulder landmark and access to the left anterior and posterior thoracic wall
Incisable and replaceable skin/muscle element (#8013), allowing palpation of the ribs for port placement
Hemi-ribcage with retractable ribs, derived from patient CT dataset
Base with diaphragm, spine, and fluid drain
Effluence tray
Shipping case
Pocket Vessel Anastomosis Trainer.
Tactilty Bowel Brochure.
MICS Mitral CABG Heart (#1390)
Our new MICS Mitral CABG Heart is designed to provide a realistic environment and access for minimally invasive mitral valve and CABG procedures. With three left atrium options (with a prolapsed posterior mitral leaflet, with or without chordae, and papillary muscles, or with a healthy mitral leaflet) this heart is our most immersive solution to date for mitral valve repair and annular ring placement with appropriate pathologies. Replaceable left atria are held to the heart magnetically, making rapid exchange possible. The MICS Mitral CABG Heart is designed specifically for use with our MICS Thorax. The CABG sites are compatible with all our native coronaries and graft vessels for MIS bypass practice.
Please contact us for details and pricing.
MICS THORAX (#1376)
Developed from patient CT data, this is the most realistic mimetic thorax available for MICS procedures. Replaceable right and left chest wall panels contain ribs 4 through 8 embedded in tissue to accommodate ports, incisions and the use of rib spreaders. Replaceable IMAs allow the learner to perform thoracoscopic takedown and grafting.Includes lungs (inflated and collapsed), diaphragm, and a heart with pericardium.The MICS Thorax accepts a variety of our hearts, both beating and non-beating.
Heart Case Brochure.
Download Brochure
HealthySimulation.com explores the Surgical Sam baby from The Chamberlain Group at IMSH 2015 in New Orleans.