TY - JOUR
T1 - Resuscitative endovascular balloon occlusion of the aorta
T2 - simulation improves performance but may require interval training to prevent skill degradation
AU - Park, Caroline
AU - Grant, Jennifer
AU - Garigipati, Priya
AU - Kuhlenschmidt, Kali
AU - Black, George
AU - Bhat, Sneha
AU - Abdelfattah, Kareem
AU - Cripps, Michael
AU - Dumas, Ryan P.
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
PY - 2022/6
Y1 - 2022/6
N2 - Purpose: Surgical trainees are exposed to less procedures with increasing need for simulation. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has become increasingly implemented for hemorrhage control, yet most courses are catered to faculty level with little data on trainees. We propose that routine training in this critical procedure will improve trainee performance over time. Methods: This is a prospective, observational study at a level I trauma center involving a monthly trauma procedural program. Early in the month, trainees received hands-on REBOA training; at the end, trainees underwent standardized, class-based evaluation on a perfused trainer. Score percentages were recorded (0–100%). Endpoints included early, mid and late performance (2–12 months). Paired T-test and Pearson’s coefficient were used to evaluate differences and strength of association between time between training and performance. Results: 25 trainees participated with 5 and 11 repeat learners in the PGY-2 and PGY-3 classes, respectively. Median early performance score was 62.5% (IQR 56–81) for PGY-2s and 91.6% (IQR 75–100) in PGY-3s. Pearson’s coefficient between time between and training and score demonstrated a weak correlation in the PGY-2s (r2 = − 0.13), but was more pronounced in the PGY-3s (r2 = − 0.44) with an inflection point at 5 months. Conclusions: Routine REBOA training in trainees is associated with improvement in performance within a short period of time. Skill degradation was most pronounced in trainees who did not receive training for more than 5 months. Trainees can be successfully trained in REBOA; however, this should be done at shorter intervals to prevent skill degradation.
AB - Purpose: Surgical trainees are exposed to less procedures with increasing need for simulation. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has become increasingly implemented for hemorrhage control, yet most courses are catered to faculty level with little data on trainees. We propose that routine training in this critical procedure will improve trainee performance over time. Methods: This is a prospective, observational study at a level I trauma center involving a monthly trauma procedural program. Early in the month, trainees received hands-on REBOA training; at the end, trainees underwent standardized, class-based evaluation on a perfused trainer. Score percentages were recorded (0–100%). Endpoints included early, mid and late performance (2–12 months). Paired T-test and Pearson’s coefficient were used to evaluate differences and strength of association between time between training and performance. Results: 25 trainees participated with 5 and 11 repeat learners in the PGY-2 and PGY-3 classes, respectively. Median early performance score was 62.5% (IQR 56–81) for PGY-2s and 91.6% (IQR 75–100) in PGY-3s. Pearson’s coefficient between time between and training and score demonstrated a weak correlation in the PGY-2s (r2 = − 0.13), but was more pronounced in the PGY-3s (r2 = − 0.44) with an inflection point at 5 months. Conclusions: Routine REBOA training in trainees is associated with improvement in performance within a short period of time. Skill degradation was most pronounced in trainees who did not receive training for more than 5 months. Trainees can be successfully trained in REBOA; however, this should be done at shorter intervals to prevent skill degradation.
KW - Resuscitative endovascular balloon occlusion of the aorta
KW - Simulation
KW - Surgical training
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U2 - 10.1007/s00068-021-01815-9
DO - 10.1007/s00068-021-01815-9
M3 - Article
C2 - 34731285
AN - SCOPUS:85118587833
SN - 1863-9933
VL - 48
SP - 1955
EP - 1959
JO - European Journal of Trauma and Emergency Surgery
JF - European Journal of Trauma and Emergency Surgery
IS - 3
ER -