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Medical Simulation: Bronchoscopy Clinical Studies
The Endoscopy AccuTouch® System was introduced in
1999 and since that time, many clinical studies have been performed and
published in leading medical journals. A few of the studies related to
the system's use in teaching bronchoscopy procedures are listed here.
Assessment of Bronchoscopy Simulator
Training new fellows on the AccuTouch® Flexible Bronchoscopy Simulator
leads to more rapid acquisition of bronchoscopy expertise compared with
conventional training methods. This technology has the potential to facilitate
bronchoscopy training and to improve objective evaluations of bronchoscopy
skills. Bronchoscopy simulation may prove to be an important tool in dealing
with a variety of issues relating to initial bronchoscopy training, competency
assessment, continuing physician training, and general medical education.
Study performed by David Ost, Andrew DeRosiers, E. James Britt, Alan M.
Fein, Martin L. Lesser, and Atul C. Mehta. Division of Pulmonary and Critical
Care Medicine and Department of Biostatistics, North Shore University
Hospital, Manhasset, NY; Division of Pulmonary and Critical Care Medicine,
University of Maryland Medical Center, Baltimore, MD; and Department of
Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland,
OH. Published in the Am. J. Respir. Crit. Care Med., Volume 164, Number
12, December 2001, 2248-2255. Full text available soon on this site. View
Abstract
Virtual Reality Bronchoscopy Simulation:
A Revolution in Procedural Training
A short, focused course of instruction and unsupervised practice using
a virtual bronchoscopy simulator enabled novice trainees to attain a level
of manual and technical skill at performing diagnostic bronchoscopic inspection
similar to those of colleagues with several years of experience. Study
performed by Henri G. Colt, MD, FCCP; Stephen W. Crawford, MD, FCCP; and
Oliver Galbraith III, Ph.D. UCSD, La Jolla, CA. Published in CHEST 2001
120: 1333-1339. The American College of Chest Physicians Journal CHEST
may be found at: www.chestjournal.org. Download
PDF
Anesthesiology Residents Train Effectively on AccuTouch
Endoscopy Simulator
This bronchoscopy simulator was very effective in teaching residents
the skills necessary for performing fiberoptic intubations with a bronchoscope.
Significant improvement was seen in time to completion of bronchoscopy,
as well as other parameters important in successfully completing the procedure.
Presented as a poster at the American Society of Anesthesiologists (ASA)
Meeting, October 14-18, 2000 by Richard Rowe, MD, MPH and Ron Cohen, MD
from Children's Hospital Oakland, Oakland, CA. Download
PDF
An Evaluation of a Virtual Reality Airway
Simulator
The American Society of Anesthesiologists Task Force on the Management
of the Difficult Airway recommends that clinicians become familiar with
various techniques to handle patients with difficult airways. Many anesthesiologists
still do not have the skills necessary to successfully complete a fiberoptic
intubation. Two frequently cited reasons are lack of case frequency and
difficulty in learning fiberoptic intubation. This study shows that the
Simulator (AccuTouch Flexible Bronchoscopy by Immersion Medical, Gaithersburg,
MD) can significantly decrease the time it takes for a resident to complete
an intubation, is easy to practice on and is always available. Further,
inexperienced residents acquired the needed psychomotor skills in less
than 20 cases. Study performed by Richard Rowe, MD, MPH and Ronald A.
Cohen, MD, Departments of Anesthesiology and Diagnostic Imaging, Children's
Hospital Oakland; and Departments of Anesthesiology and Radiology, University
of California, San Francisco School of Medicine, San Francisco, CA. Published
in Anesthesia & Analgesia 2002: 95:62-6. Download
PDF
Budgeting For Bronchoscope Damage in an
Interventional Pulmonology Program
This poster, presented at CHEST 2002, shows the potential cost saving
benefits of implementing a training schedule in an interventional pulmonology
program through reduced damage and subsequent repair of scopes. The cost
of repairs was reduced from a high of $45 per procedure to an average
of $11 per procedure. "Only after demonstrating proficiency in performing
advanced endoscopic procedures in this training environment (VR training
with AccuTouch), operators were permitted to perform live procedures".
This demonstrates that the AccuTouch cannot only train, but can also reduce
cost. Study performed by Robert Garland, RRT; Lorraine Gryniuk, RRT; David
Feller-Kopman, MD; Momen Wahidi, MD; Laureen Smith, RN; Armin Ernst, MD,
Interventional Pulmonology, Beth Israel Deaconess Medical Center and Harvard
Medical Center, Boston, MA.
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PDF
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