Development and use of a high-fidelity simulator for fetal endotracheal balloon occlusion (FETO) insertion and removal.

Détails

ID Serval
serval:BIB_7B6C5579FDBC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Development and use of a high-fidelity simulator for fetal endotracheal balloon occlusion (FETO) insertion and removal.
Périodique
Prenatal Diagnosis
Auteur(s)
Windrim R., Ryan G., Lebouthillier F., Campisi P., Kelly E.N., Baud D., Yoo S.J., Deprest J.
ISSN
1097-0223 (Electronic)
ISSN-L
0197-3851
Statut éditorial
Publié
Date de publication
2014
Volume
34
Numéro
2
Pages
180-184
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
Objectives The objective of this article is to describe the development of an anatomically accurate simulator in order to aid the training of a perinatal team in the insertion and removal of a fetal endoscopic tracheal occlusion (FETO) balloon in the management of prenatally diagnosed congenital diaphragmatic hernia. Methods An experienced perinatal team collaborated with a medical sculptor to design a fetal model for the FETO procedure. Measurements derived from 28-week fetal magnetic resonance imaging were used in the development of an anatomically precise simulated airway within a silicone rubber preterm fetal model. Clinician feedback was then used to guide multiple iterations of the model with serial improvements in the anatomic accuracy of the simulator airway. Results An appropriately sized preterm fetal mannequin with a high-fidelity airway was developed. The team used this model to develop surgical skills with balloon insertion, and removal, and to prepare the team for an integrated response to unanticipated delivery with the FETO balloon still in situ. Conclusions This fetal mannequin aided in the ability of a fetal therapy unit to offer the FETO procedure at their center for the first time. This model may be of benefit to other perinatal centers planning to offer this procedure.
Pubmed
Web of science
Création de la notice
28/01/2014 16:36
Dernière modification de la notice
03/03/2018 18:35
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