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DOI: 10.1055/s-0036-1593808
Simulation-Based Patient-Specific Multidisciplinary Team Training in Preparation for the Resuscitation and Stabilization of Conjoined Twins
Publikationsverlauf
26. August 2016
14. September 2016
Publikationsdatum:
10. November 2016 (online)
Abstract
The resuscitation of conjoined twins is a rare and complex clinical challenge. We detail how patient-specific, in situ simulation can be used to prepare a large, multidisciplinary team of health care professionals (HCPs) to deliver safe, efficient, and effective care to such patients. In this case, in situ simulation allowed an 18-person team to address the clinical and ergonomic challenges anticipated for this neonatal resuscitation. The HCPs trained together as an intact team in the actual delivery room environment to probe for human and system weaknesses prior to this unique delivery, and optimized communication, teamwork, and other behavioral skills as they prepared for the simultaneous resuscitation of two patients who were physically joined to one another.
Note
The work of the authors is supported in part by the endowment for the Center for Advanced Pediatric and Perinatal Education.
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References
- 1 Fuerch JH, Yamada NK, Kobayashi DK , et al. The role of a fetal center in preparing for a conjoined twin delivery. Neoreviews 2015; 16 (11) e617-e623
- 2 Yamada NK, Fuerch JH, Halamek LP. Modification of the neonatal resuscitation program algorithm for resuscitation of conjoined twins. Am J Perinatol 2016; 33 (4) 420-424
- 3 Kobylarz K. Anaesthesia of conjoined twins. Anaesthesiol Intensive Ther 2014; 46 (2) 124-129
- 4 Thomas JM. Anaesthesia for conjoined twins. Childs Nerv Syst 2004; 20 (8–9): 538-546
- 5 Diaz JH, Furman EB. Perioperative management of conjoined twins. Anesthesiology 1987; 67 (6) 965-973
- 6 American Academy of Pediatrics. Textbook of Neonatal Resuscitation, 6th ed. Elk Grove Village, Illinois: American Academy of Pediatrics; 2011
- 7 Yamada NK, Halamek LP. On the need for precise, concise communication during resuscitation: a proposed solution. J Pediatr 2015; 166 (1) 184-187