PURPOSE: Minimally invasive surgery (MIS) in neonates and infants presents technical challenges and is still unfamiliar to many paediatrics surgeons. This study aims to identify currently available simulators for neonatal/infant MIS training, to assess their validity, level of evidence, and related recommendations. METHODS: The review followed PRISMA guidelines and was registered in PROSPERO (CRD420250581050). Electronic search limited to English articles was performed through PubMed/MEDLINE, SCOPUS, Web of Science and Cochrane Database from January 2010 to June 2024. RESULTS: Out of 1084 identified records, 72 studies met the inclusion criteria and were analysed across general, gastrointestinal, thoracic, and urological MIS specialties. Recent efforts have led to the development of 3D-printed, animal-based, and hybrid models several of which showed high fidelity, skill differentiation, and educational value. Despite promising results, no universal MIS training model exists for neonate/infant patients, highlighting the need for structured, proficiency-based curricula. Overall, studies demonstrated moderate levels of evidence and recommendation, supporting integration of cost-effective simulation into paediatrics MIS training CONCLUSION: This systematic review highlights the need for validated, standardized simulation models and proficiency-based curricula to optimize neonate and infant MIS training and guide future research toward improving model fidelity, accessibility, and long-term educational outcomes.
- MeSH
- Clinical Competence MeSH
- Infant MeSH
- Humans MeSH
- Minimally Invasive Surgical Procedures * education MeSH
- Infant, Newborn MeSH
- Pediatrics * education MeSH
- Simulation Training * methods MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Publication type
- Journal Article MeSH
- Systematic Review MeSH
Súhrn Detská chirurgia je lekárska špecializácia, ktorá sa zameriava na diagnostiku, liečbu a pooperačnú starostlivosť o deti s vrodenými a získanými anomáliami a chorobami. Cieľom detských chirurgov je zabezpečiť, aby deti dostali najlepšiu možnú starostlivosť a aby sa minimalizovali riziká a komplikácie spojené s chirurgickými zákrokmi. Súčasní detskí chirurgovia čelia mnohým výzvam, vrátane malému počtu detí s vrodenými vývojovými chybami; ekonomické tlaky a snaha o zvýšenie efektivity vedú k znižovaniu času stráveného na jednotlivých operáciách, čo môže obmedzovať možnosť dôkladného tréningu mladých chirurgov. Tieto výzvy vyžadujú inovatívne prístupy a neustále zlepšovanie vzdelávacích a tréningových metód. Minimálne invazívna chirurgia sa stala významnou súčasťou detskej chirurgie, prinášajúc benefity ako rýchlejšie zotavenie, menšie operačné rany a nižšie riziko infekcie. Avšak, minimálne invazívna detská chirurgia je technicky náročná a vyžaduje excelentnú technickú zručnosť. Potreba udržiavať a zlepšovať chirurgické zručnosti vyžaduje neustály tréning. Súčasné vzdelávacie metódy sa čoraz viac spoliehajú na simulačné technológie, aby sa zlepšila kvalita a bezpečnosť tréningu s čo najnižším rizikom pre pacientov. Integrácia technológie 3D tlače a obrazových dát z CT a MR skenov priniesla nové možnosti na tvorbu vysoko realistických simulačných modelov pre minimálne invazívnu chirurgiu. Tieto modely presne replikujú prostredie, s ktorým sa stretávame napr. pri novorodeneckej chirurgii. V tomto článku uvádzame vlastné skúsenosti s vývojom a tvorbou 3D tlačených syntetických modelov určených na tréning torakoskopickej operácie atrézie pažeráka s tracheoezofageálnou fistulou. Cieľom tohto súhrnného článku je poskytnúť aktuálny prehľad literatúry venujúcej sa syntetickým 3D tlačeným modelom určeným pre tréning minimálne invazívnej detskej chirurgie.
Summary Pediatric surgery is a medical specialty focused on the diagnosis, treatment, and postoperative care of children with congenital and acquired anomalies and diseases. The goal of pediatric surgeons is to ensure that children receive the best possible care while minimizing the risks and complications associated with surgical procedures. Contemporary pediatric surgeons face many challenges, including a decline in the number of children with congenital developmental defects, economic pressures, and efforts to increase efficiency, leading to reduced time spent on individual surgeries. This can limit the opportunity for thorough training of young surgeons. These challenges require innovative approaches and continuous improvement in educational and training methods. Minimally invasive surgery has become a significant part of pediatric surgery, offering benefits such as faster recovery, smaller surgical wounds, and lower risk of infection. However, minimally invasive pediatric surgery is technically demanding and requires excellent technical skills. The need to maintain and improve surgical skills demands ongoing training. Current educational methods increasingly rely on simulation technologies to enhance the quality and safety of training without risk to patients. The integration of 3D printing technology and imaging data from CT and MRI scans has opened new possibilities for creating highly realistic simulation models for minimally invasive surgery. These models accurately replicate the environment encountered in procedures like neonatal surgery. In this article, we present our experience with the development and creation of 3D-printed synthetic models designed for training thoracoscopic surgery of esophageal atresia with tracheoesophageal fistula. The aim of this review article is to provide an up-to-date overview of the literature on synthetic 3D-printed models designed for training in minimally invasive pediatric surgery.
This study aims to provide an updated overview of medical error taxonomies by building on a robust review conducted in 2011. It seeks to identify the key characteristics of the most suitable taxonomy for use in high-fidelity simulation-based postgraduate courses in Critical Care. While many taxonomies are available, none seem to be explicitly designed for the unique context of healthcare simulation-based education, in which errors are regarded as essential learning opportunities. Rather than creating a new classification system, this study proposes integrating existing taxonomies to enhance their applicability in simulation training. Through data from surveys of participants and tutors in postgraduate simulation-based courses, this study provides an exploratory analysis of whether a generic or domain-specific taxonomy is more suitable for healthcare education. While a generic classification may cover a broad spectrum of errors, a domain-specific approach could be more relatable and practical for healthcare professionals in a given domain, potentially improving error-reporting rates. Seven strong links were identified in the reviewed classification systems. These correlations allowed the authors to propose various simulation training strategies to address the errors identified in both the classification systems. This approach focuses on error management and fostering a safety culture, aiming to reduce communication-related errors by introducing the principles of Crisis Resource Management, effective communication methods, and overall teamwork improvement. The gathered data contributes to a better understanding and training of the most prevalent medical errors, with significant correlations found between different medical error taxonomies, suggesting that addressing one can positively impact others. The study highlights the importance of simulation-based education in healthcare for error management and analysis.
- MeSH
- Medical Errors * prevention & control classification MeSH
- Humans MeSH
- Education, Medical methods MeSH
- Simulation Training methods MeSH
- Health Personnel education MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Keywords
- simulační medicína,
- MeSH
- Humans MeSH
- Education, Medical * MeSH
- Simulation Training * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Newspaper Article MeSH
- Keywords
- simulační medicína,
- MeSH
- Congresses as Topic MeSH
- Education, Medical, Continuing MeSH
- Education, Nursing, Continuing MeSH
- Humans MeSH
- Simulation Training * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Newspaper Article MeSH
- News MeSH
152 stran : ilustrace ; 21 cm
Publikace, které se zaměřuje na použití simulace v lékařství a ošetřovatelství; konkrétně ve výuce, výkumu, hodnocení a praxi. Určeno odborné veřejnosti.; Simulace ve zdravotnictví má čtyři hlavní účely: vzdělávání, hodnocení, výzkum a integraci. Záměrem je zlepšit bezpečnost, účinnost a efektivnost služeb spojených s poskytováním zdravotní péče. Simulace jde napříč mnoha disciplínami, včetně všeobecného lékařství, zubního lékařství, ošetřovatelství, farmacie, psychologie inženýrství či herectví. Základním cílem publikace je přiblížit problematiku simulací ve smyslu obsahu, struktury a použitelnosti v oblasti zdravotní péče. Vědeckost monografie je deklarována statisticky signifikantními výsledky vlastního výzkumu zaměřeného na hodnocení realizované simulace. Benefit, který současně publikace nabízí, je autory navržený konkrétní příklad scénáře simulace, který tvořili na základě osobních zkušeností získaných při opakované aplikaci scénáře v podmínkách simulačního centra.
- MeSH
- Communication * MeSH
- Humans MeSH
- Truth Disclosure MeSH
- Simulation Training MeSH
- Virtual Reality * MeSH
- Physician-Patient Relations MeSH
- Professional-Patient Relations MeSH
- Check Tag
- Humans MeSH
- Publication type
- Newspaper Article MeSH
