Filling the gap between the OR and virtual simulation : a European study on a basic neurosurgical procedure

Show simple item record European Neurosurg Simulation Stud Perin, Alessandro Galbiati, Tommaso Francesco Gambatesa, Enrico Ayadi, Roberta Orena, Eleonora Francesca Cuomo, Valentina Riker, Nicole Irene Falsitta, Lydia Viviana Schembari, Silvia Rizzo, Stefano Luciano, Cristian Cappabianca, Paolo Meling, Torstein Ragnar Schaller, Karl DiMeco, Francesco Laakso, Aki 2019-02-05T08:37:02Z 2019-02-05T08:37:02Z 2018-11
dc.identifier.citation European Neurosurg Simulation Stud , Perin , A , Galbiati , T F , Gambatesa , E , Ayadi , R , Orena , E F , Cuomo , V , Riker , N I , Falsitta , L V , Schembari , S , Rizzo , S , Luciano , C , Cappabianca , P , Meling , T R , Schaller , K , DiMeco , F & Laakso , A 2018 , ' Filling the gap between the OR and virtual simulation : a European study on a basic neurosurgical procedure ' , Acta Neurochirurgica , vol. 160 , no. 11 , pp. 2087-2097 .
dc.identifier.other PURE: 121466062
dc.identifier.other PURE UUID: 8058db63-f3a3-41c2-aab6-a17a30461f1b
dc.identifier.other WOS: 000449674300003
dc.identifier.other Scopus: 85054392137
dc.identifier.other ORCID: /0000-0002-5312-4926/work/57448919
dc.description Aki Laakso tutkimusryhmän jäsenenä.
dc.description.abstract Currently available simulators are supposed to allow young neurosurgeons to hone their technical skills in a safe environment, without causing any unnecessary harm to their patients caused by their inexperience. For this training method to be largely accepted in neurosurgery, it is necessary to prove simulation efficacy by means of large-scale clinical validation studies. We correlated and analysed the performance at a simulator and the actual operative skills of different neurosurgeons (construct validity). We conducted a study involving 92 residents and attending neurosurgeons from different European Centres; each participant had to perform a virtual task, namely the placement of an external ventricular drain (EVD) at a neurosurgical simulator (ImmersiveTouch). The number of attempts needed to reach the ventricles and the accuracy in positioning the catheter were assessed. Data suggests a positive correlation between subjects who placed more EVDs in the previous year and those who get better scores at the simulator (p = .008) (fewer attempts and better surgical accuracy). The number of attempts to reach the ventricle was also analysed; senior residents needed fewer attempts (mean = 2.26; SD = 1.11) than junior residents (mean = 3.12; SD = 1.05) (p = .007) and staff neurosurgeons (mean = 2.89, SD = 1.23). Scoring results were compared by using the Fisher's test, for the analysis of the variances, and the Student's T test. Surprisingly, having a wider surgical experience overall does not correlate with the best performance at the simulator. The performance of an EVD placement on a simulator correlates with the density of the neurosurgical experience for that specific task performed in the OR, suggesting that simulators are able to differentiate neurosurgeons according to their surgical ability. Namely this suggests that the simulation performance reflects the surgeons' consistency in placing EVDs in the last year. en
dc.format.extent 11
dc.language.iso eng
dc.relation.ispartof Acta Neurochirurgica
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Simulation
dc.subject EVD placement
dc.subject Residency training
dc.subject Construct validity
dc.subject Patient's safety
dc.subject RESIDENTS
dc.subject SYSTEM
dc.subject 3124 Neurology and psychiatry
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Filling the gap between the OR and virtual simulation : a European study on a basic neurosurgical procedure en
dc.type Article
dc.contributor.organization HUS Neurocenter
dc.contributor.organization Neurokirurgian yksikkö
dc.description.reviewstatus Peer reviewed
dc.relation.issn 0001-6268
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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