RESUMO
Embolization by a dislodged projectile is a rare complication that may occur in cases of gunshot cardiac injuries. We report a case of a firearm projectile cardiac injury that evolved, with dislocation of the projectile during cardiac surgery, into embolization of the right external carotid artery.
Assuntos
Embolia/etiologia , Migração de Corpo Estranho/complicações , Traumatismos Cardíacos/complicações , Ferimentos por Arma de Fogo/complicações , Adulto , Angiografia , Procedimentos Cirúrgicos Cardíacos/métodos , Embolia/diagnóstico por imagem , Embolização Terapêutica/métodos , Fluoroscopia , Migração de Corpo Estranho/diagnóstico por imagem , Migração de Corpo Estranho/cirurgia , Traumatismos Cardíacos/diagnóstico por imagem , Traumatismos Cardíacos/cirurgia , Humanos , Masculino , Ferimentos por Arma de Fogo/diagnóstico por imagem , Ferimentos por Arma de Fogo/cirurgiaRESUMO
Abstract Embolization by a dislodged projectile is a rare complication that may occur in cases of gunshot cardiac injuries. We report a case of a firearm projectile cardiac injury that evolved, with dislocation of the projectile during cardiac surgery, into embolization of the right external carotid artery.
Assuntos
Humanos , Masculino , Adulto , Ferimentos por Arma de Fogo/complicações , Migração de Corpo Estranho/complicações , Embolia/etiologia , Traumatismos Cardíacos/complicações , Ferimentos por Arma de Fogo/cirurgia , Ferimentos por Arma de Fogo/diagnóstico por imagem , Angiografia , Fluoroscopia , Migração de Corpo Estranho/cirurgia , Migração de Corpo Estranho/diagnóstico por imagem , Embolia/diagnóstico por imagem , Embolização Terapêutica/métodos , Traumatismos Cardíacos/cirurgia , Traumatismos Cardíacos/diagnóstico por imagem , Procedimentos Cirúrgicos Cardíacos/métodosRESUMO
PURPOSE: Implement a constructivist approach in thoracic drainage training in surgical ex vivo pig models, to compare the acquisition of homogeneous surgical skills between medical students. METHODS: Experimental study, prospective, transversal, analytical, controlled, three steps. Selection, training, evaluation. INCLUSION CRITERIA: a) students without training in thoracic drainage; b) without exposure to constructivist methodology. 2) EXCLUSION CRITERIA: a) students developed surgical skills; b) a history of allergy. (N = 312). Two groups participated in the study: A and B. Lecture equal for both groups. Differentiated teaching: group A, descriptive and informative method; group B, learning method based on problems. A surgical ex vivo pig model for training the chest drain was created. Were applied pre and post-test, test goal-discursive and OSATS scale. RESULTS: Theoretical averages: Group A = 9.5 ± 0.5; Group B = 8.8 ± 1.1 (p = 0.006). Medium Practices: Group A = 22.8 ± 1.8; Group B = 23.0 ± 2.8 (p <0.001). CONCLUSION: Through the constructivist methodology implemented in the thoracic drainage training in surgical ex vivo pig models, has proven the acquisition of surgical skills homogeneous compared among medical students.
Assuntos
Drenagem , Educação de Graduação em Medicina/métodos , Modelos Anatômicos , Modelos Educacionais , Toracotomia/educação , Animais , Competência Clínica , Drenagem/instrumentação , Avaliação Educacional , Feminino , Humanos , Masculino , Aprendizagem Baseada em Problemas/métodos , Suínos , Toracotomia/instrumentaçãoRESUMO
ABSTRACT PURPOSE: Implement a constructivist approach in thoracic drainage training in surgical ex vivo pig models, to compare the acquisition of homogeneous surgical skills between medical students. METHODS: Experimental study, prospective, transversal, analytical, controlled, three steps. Selection, training, evaluation. Inclusion criteria: a) students without training in thoracic drainage; b) without exposure to constructivist methodology. 2) Exclusion criteria: a) students developed surgical skills; b) a history of allergy. (N = 312). Two groups participated in the study: A and B. Lecture equal for both groups. Differentiated teaching: group A, descriptive and informative method; group B, learning method based on problems. A surgical ex vivo pig model for training the chest drain was created. Were applied pre and post-test, test goal-discursive and OSATS scale. RESULTS: Theoretical averages: Group A = 9.5 ± 0.5; Group B = 8.8 ± 1.1 (p = 0.006). Medium Practices: Group A = 22.8 ± 1.8; Group B = 23.0 ± 2.8 (p <0.001). CONCLUSION: Through the constructivist methodology implemented in the thoracic drainage training in surgical ex vivo pig models, has proven the acquisition of surgical skills homogeneous compared among medical students.