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  1. Article ; Online: Stepwise training program

    Hsin-An Chen / Shih-Wei Huang / Shih-Chiang Shen / Kuei‐Yen Tsai / Hsin-Hong Kuo / Bernard Dallemagne / Howard C. Jen / Chin-Hung Wei

    Heliyon, Vol 9, Iss 12, Pp e22563- (2023)

    A novel practice schedule for laparoscopic suturing

    2023  

    Abstract: Purpose: We establish stepwise training program in which laparoscopic suturing is broken down to discrete steps. The purpose is to evaluate the learning outcomes of stepwise training program. Materials and methods: Volunteer participants were enrolled ... ...

    Abstract Purpose: We establish stepwise training program in which laparoscopic suturing is broken down to discrete steps. The purpose is to evaluate the learning outcomes of stepwise training program. Materials and methods: Volunteer participants were enrolled from medical students and surgical trainees. Students took two courses of 2-h stepwise training, and a post-course (1st & 2nd) test was taken after each course; trainees took one course of stepwise training with a pre-course (1st) and a post-course (2nd) test. Attending surgeons took the test as control. Learning outcomes were assessed with laparoscopic suturing competency assessment tool (LS-CAT) and suturing time. Results: There were 10 students, 8 trainees and 6 surgeon controls. Suturing time and LS-CAT scores significantly improved between the 1st and 2nd test (p < 0.01). In the both tests, suturing time and LS-CAT scores of students and trainees were similar. In the 1st test, surgeons had significantly better performance in suturing time and LS-CAT score than students and trainees; in the 2nd test, the LS-CAT scores of students and trainees were similar to the surgeon controls. Conclusions: Stepwise program effectively enhances laparoscopic suturing skill for medical students and surgical trainees. Catch-up effect was demonstrated in medical students with stepwise training.
    Keywords Laparoscopic suturing ; Stepwise training ; Practice schedule ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 370 ; 796
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: A Comparison of Oxygenation Efficacy between High-Flow Nasal Cannulas and Standard Facemasks during Elective Tracheal Intubation for Patients with Obesity

    Yu-Ming Wu / Chun-Cheng Li / Shih-Yu Huang / Yen-Hao Su / Chien-Wun Wang / Jui-Tai Chen / Shih-Chiang Shen / Po-Han Lo / Yun-Ling Yang / Yih-Giun Cherng / Hsiang-Ling Wu / Ying-Hsuan Tai

    Journal of Clinical Medicine, Vol 11, Iss 1700, p

    A Randomized Controlled Trial

    2022  Volume 1700

    Abstract: Obese patients are predisposed to rapid oxygen desaturation during tracheal intubation. We aimed to compare the risk of desaturation between high-flow nasal oxygenation (HFNO) and classical facemask oxygenation (FMO) during rapid sequence intubation for ... ...

    Abstract Obese patients are predisposed to rapid oxygen desaturation during tracheal intubation. We aimed to compare the risk of desaturation between high-flow nasal oxygenation (HFNO) and classical facemask oxygenation (FMO) during rapid sequence intubation for elective surgery in obese patients. Adults with a body mass index ≥30 kg·m −2 undergoing laparoscopic sleeve gastrectomy at a medical center were randomized into the HFNO group ( n = 40) and FMO group ( n = 40). In the HFNO group, patients used a high-flow nasal cannula to receive 30 to 50 L·min −1 flow of heated and humidified 100% oxygen. In the FMO group, patients received a fitting facemask with 15 L·min −1 flow of 100% oxygen. After 5-min preoxygenation, rapid sequence intubation was performed. The primary outcome was arterial desaturation during intubation, defined as a peripheral capillary oxygen saturation (SpO 2 ) <92%. The risk of peri-intubation desaturation was significantly lower in the HFNO group compared to the FMO group; absolute risk reduction: 0.20 (95% confidence interval: 0.05–0.35, p = 0.0122); number needed to treat: 5. The lowest SpO 2 during intubation was significantly increased by HFNO (median 99%, interquartile range: 97–100) compared to FMO (96, 92–100, p = 0.0150). HFNO achieved a higher partial pressure of arterial oxygen (PaO 2 ) compared to FMO, with medians of 476 mmHg (interquartile range: 390–541) and 397 (351–456, p = 0.0010), respectively. There was no difference in patients’ comfort level between groups. Compared with standard FMO, HFNO with apneic oxygenation reduced arterial desaturation during tracheal intubation and enhanced PaO 2 among patients with obesity.
    Keywords apneic oxygenation ; high-flow nasal cannula ; hypoxemia ; oxygen therapy ; rapid sequence intubation ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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