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. 2021 Aug;13(Suppl 1):S26-S34.
doi: 10.21037/jtd-2020-epts-03.

Implementation of simulation-based crisis training in robotic thoracic surgery: how to improve safety and performance?

Jean-Marc Baste  1   2 , Benjamin Bottet  1 , Jean Selim  3 , Matthieu Sarsam  1 , Antoine Lefevre-Scelles  2   3 , Marie-Melody Dusseaux  3 , Sébastien Franchina  3 , Anne-Sophie Palenzuela  1 , Abdeslam Chagraoui  4 , Christophe Peillon  1 , Alexandre Thouroude  5 , Jean-Pierre Henry  3 , Jean-Michel M Coq  2   6 , Louis Sibert  2 , Cédric Damm  3
Affiliations

Implementation of simulation-based crisis training in robotic thoracic surgery: how to improve safety and performance?

Jean-Marc Baste et al. J Thorac Dis. 2021 Aug.
No abstract available

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form, available at: http://dx.doi.org/10.21037/jtd-2020-epts-03. The series “European Perspectives in Thoracic Surgery (2020) - the Seven Edition” was commissioned by the editorial office without any funding or sponsorship. JMB reports personal fees from Intuitive Surgery, personal fees from Johnson and Johnson, personal fees from Medtronic, during the conduct of the study. ALS reports other from Medtronic, outside the submitted work. CP reports personal fees from covidien, during the conduct of the study. The other authors have no other conflicts of interest to declare.

Figures

Figure 1
Figure 1
Emergency checklist: “Code Red”. CRM, crisis resource management; RATS, robotic-assisted thoracic surgery.
Figure 2
Figure 2
Organization of team simulation: briefing, scenario, debriefing.
Figure 3
Figure 3
Scenario: operating room, high-fidelity model, facilitator, surgeon, assistant, nurses, robotic platform, camera for webcasting. VATS, video-assisted thoracic surgery; RATS, robotic-assisted thoracic surgery.
Video 1
Video 1
Scenario using a controlled bleeding of the Right A6.
Video 2
Video 2
Scenario using an uncontrolled bleeding of the Right A6; this is for the crisis scenario with cardiac arrest.
Video 3
Video 3
First session of team training done in OR. Briefing and debriefing was done in the same room with the full team but also guests and external consultants. After this session we have modified the logistic with scenario broadcasted in the briefing and debriefing room to respond to simulation guidelines.
Video 4
Video 4
Robotic-assisted thoracic surgery (RATS) simulation with a scenario of cardiac arrest.
Video 5
Video 5
Scenario of 2 steps pulmonary tear in LUL with technical mistakes highlighted.
Figure 4
Figure 4
Our safety design: a comprehensive approach of robotic safety.
See this image and copyright information in PMC

References

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