From: Four different models for simulation-based training of bronchoscopic procedures
Observation | BronchoBoy Median (range) or actual number | Koken Median (range) or actual number | Human Cadaver Median (range) or actual number | Porcine Lung Median (range) or actual number | P (Friedman’s test) |
---|---|---|---|---|---|
Task 1: Simulation of a bronchoscopic airway inspection | |||||
Number of segments identified | 19 (19–19) | 19 (19–19) | 19 (19–19) | N/A | 0.001 |
Number of participants entering segment RB1 without an endoscopic instrument in the working channel? | 2/7 | 0/7 | 7/7 | N/A | |
Number of participants entering segment RB6 of the model without an endoscopic instrument in the working channel? | 7/7 | 7/7 | 7/7 | N/A | |
Was it possible to maneuver the bronchoscope into RB1 with an endoscopic instrument visible on the camera image? | 0/7 | 0/7 | 7/7 | N/A | |
Was it possible to maneuver the bronchoscope into RB6 with an endoscopic instrument visible on the camera image? | 7/7 | 7/7 | 7/7 | N/A | |
How far could the bronchoscope be advanced into a segment of the right lower lobe of the model? (cm) | 12.25 (9–15) | 13 (11.5–16.5) | 12.75 (9-18.5) | 14.5 (10.5–19) | N/A |
How far could the bronchoscope be advanced into a segment of the left upper lobe of the model? (cm) | 8.75 (6–11) | 9.5 (8-12.5) | 11 (8–18) | 8.75 (5–14) | N/A |
How many times was it necessary to clean the lens inside the model? | 0 (0–3) | 0 (0–0) | 0 (0–2) | 1 (0–5) | N/A |
How many times was it necessary to remove the bronchoscope to clean the lens? | 0 (0–3) | 0 (0–0) | 0 (0–1) | 0 (0–4) | N/A |
Task 2: Simulation of a BAL | |||||
How much fluid was instilled in the model? (ml) | 150 (150–150) | 150 (150–150) | 150 (150–150) | 150 (150–150) | 0.017 |
Was there any leakage of fluids from the model during the installation? | 6/6 | 2/6 | 2/6 | 0/6 | |
How much fluid was retracted from the model during suctioning? (ml) | 52 (30–65) | 132.5 (88–144) | 22 (7.5–90) | 134 (120–150) | |
Task 3: Simulation of a tissue sampling | |||||
Was it possible to perform three sampling procedures in the model? | 0/7 | 0/7 | 7/7 | 7/7 | < 0.001 |