VA Difficult Airway DAARC Lite 與 Single Ventricle Circulation 使用情況與統計
DAARC Lite emphasizes the use of; 1) the Vortex cognitive aid, 2) nasal oxygenation, 3) waveform ETCO2 capnography, 4) elevated head of bed and 5) supraglottic airways during emergent airway management. Additionally, it trains learners to optimally manage airways during ALS events and to identify when a percutaneous cricothyrotomy technique may be required to rescue a failed airway event. The game uses scenarios set in virtual Out of OR Airway Management (OOORAM) setting including; emergency rooms, intensive care units, and inpatient hospital settings. DAARC lite is an educational product that is in full alignment with the SimLEARN OOORAM 2.0 program. When DAARC Lite and SimLEARN OOORAM 2.0 are combined they constitute a novel composite of a Virtual Avatar Game-based Learning System with task trainer activities and high-fidelity mannequin-based simulation scenarios are designed to help reduce patient morbidity and mortality associated with high stakes urgent and emergent airway management.
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This app presents a model of circulation throughout the three stages of surgical palliation for patients with single ventricle physiology, known as the Fontan sequence. An educational tool designed for medical students and anyone interested in congenital heart defects, the app allows the user to experiment with several different common surgical procedures and medical treatments, to observe the effects on clinical measures like blood pressures and oxygen delivery both at rest and during exercise, and to predict immediate post-surgical outcomes. The app displays both tabular results, and time-based blood pressure and flow waveforms and ventricular pressure-volume loops.
This app accompanies our JTCVS paper(1), which describes the circulation models used, abbreviations and settings. The paper includes details of the model mechanics, and a partial validation of model outputs vs. clinical measurements from 47 patients. This is the hand-held device app mentioned in that paper. The app provides default values for the circulation, which the user can can be customize to investigate clinical situations or patient-specific predictions. Details on the basis of the circulation model are cited in the JTCVS paper (1).
(1) Conover, T., Hlavacek, A.M., Migliavacca, F. et al. An interactive simulation tool for patient-specific clinical decision support in single ventricle physiology. J Thorac Cardiovasc Surg. 2018; 155: 712–721
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VA Difficult Airway DAARC Lite VS. 
Single Ventricle Circulation12月 31, 2024