Low cost simulator for heart surgery training

Abstract Objective: Introduce the low-cost and easy to purchase simulator without biological material so that any institution may promote extensive cardiovascular surgery training both in a hospital setting and at home without large budgets. Methods: A transparent plastic box is placed in a wooden frame, which is held by the edges using elastic bands, with the bottom turned upwards, where an oval opening is made, "simulating" a thoracotomy. For basic exercises in the aorta, the model presented by our service in the 2015 Brazilian Congress of Cardiovascular Surgery: a silicone ice tray, where one can train to make aortic purse-string suture, aortotomy, aortorrhaphy and proximal and distal anastomoses. Simulators for the training of valve replacement and valvoplasty, atrial septal defect repair and aortic diseases were added. These simulators are based on sewage pipes obtained in construction material stores and the silicone trays and ethyl vinyl acetate tissue were obtained in utility stores, all of them at a very low cost. Results: The models were manufactured using inert materials easily found in regular stores and do not present contamination risk. They may be used in any environment and maybe stored without any difficulties. This training enabled young surgeons to familiarize and train different surgical techniques, including procedures for aortic diseases. In a subjective assessment, these surgeons reported that the training period led to improved surgical techniques in the surgical field. Conclusion: The model described in this protocol is effective and low-cost when compared to existing simulators, enabling a large array of cardiovascular surgery training.

Experience report on teaching surgical technique without animal use

PURPOSE: To report the experience of the school in implementing the 3 Rs replace, reduce and refine; showing time and assembling cost of the experimental models used in the teaching of Surgical Technique and Experimental Surgery. METHODS: Assembly time and costs of models: grafts and flaps performed in pork belly, model of intestinal anastomosis and jejunostomy done in Bahiana box and black box model for training videosurgery. RESULTS: Average time and cost estimate: ten minutes-pork belly, cost $ 6.00 per kilogram; two minutes-Bahiana box, cost $ 27.2; Black box-3.6 hours for manufacturing, cost $ 100.00. The repetition of each practice the cost is $ 3.20 for Bahiana box and at no cost to the black box. CONCLUSION: The experimental models presented are easily reproducible and of low cost. .

Qué es la estrategia reforzada de crecimiento económico y reducción de pobreza? / That is the strategy reinforced of economic growth and reduction of poverty

El documento proporciona los elementos que ayudaran al crecimiento económico y reducir la pobreza de la población nicaraguense, así mismo proporciona los instrumentos de trabajo que serviran de guía para mejorar el bienestar de la población la que se lograra con la participacion de la población

Una experiencia de preparación de material educativo comunitario / An experience of preparation of community educational material

Se trata de una experiencia exitosa con un material de bajo costo, que por su formato permite intruducir modificaciones cada cierto tiempo, pero sobre todo, se trata de un material elaborado-y que se sigue elaborando-de manera colectiva

Réplica de globo ocular de construçäo artesanal: um auxílio no ensino prático da oftalmoscopia indireta e direta / Handmade human eye model: a tool to teach and practice indirect and direct ophtalmoscopy

Os modelos para o ensino de oftalmoscopia indireta e direta säo dispendiosos. Os autores desenvolveram um modelo de olho humano, de fácil execuçäo e de baixo custo, que se constituiu em um importante auxílio para o ensino prático deste exame