Our Summary

This research paper discusses the benefits of simulation and repetitive training (deliberate practice) in cardiothoracic surgery, which is surgery on the heart or lungs. In a time where there are strict hours for surgical training and a lot of focus on the outcomes of heart and lung surgeries, these additional training methods are proving valuable. There is increasing evidence that these methods not only help surgeons improve their technical skills but also their clinical skills, and that they can help make surgeries safer for patients. This paper specifically looks at how these training methods have been beneficial in the field of cardiothoracic surgery.

FAQs

  1. What is the role of simulation and deliberate practice in the training of thoracic surgery?
  2. How does simulation-based training impact patient safety in thoracic surgery?
  3. What evidence supports the use of simulation and deliberate practice in cardiothoracic surgical outcomes?

Doctor’s Tip

One helpful tip a doctor might tell a patient about thoracic surgery is to follow all pre-operative instructions carefully, including fasting guidelines and medication protocols, to ensure a successful procedure and smooth recovery. It is also important to discuss any concerns or questions with your surgeon before the surgery to alleviate any anxiety and ensure you are fully informed about the procedure.

Suitable For

Patients who are typically recommended thoracic surgery include those with conditions such as lung cancer, esophageal cancer, chest wall deformities, pulmonary infections, emphysema, and other thoracic diseases or disorders that require surgical intervention. Thoracic surgery may also be recommended for patients with traumatic injuries to the chest or those with congenital heart defects. Additionally, patients with certain cardiovascular conditions, such as coronary artery disease or heart valve disorders, may also be recommended for thoracic surgery. Ultimately, the decision to recommend thoracic surgery for a patient is based on their specific medical condition, overall health, and individual treatment goals.

Timeline

Before thoracic surgery:

  1. Patient consultation and evaluation by a thoracic surgeon to determine the need for surgery.
  2. Pre-operative testing such as blood work, imaging studies, and possibly a pulmonary function test.
  3. Patient education on the procedure, risks, and post-operative care.
  4. Anesthesia consultation and pre-operative assessment.
  5. Surgery scheduling and preparation, including fasting before the procedure.

After thoracic surgery:

  1. Recovery in the post-anesthesia care unit (PACU) immediately after surgery.
  2. Transfer to a hospital room for monitoring and pain management.
  3. Physical therapy and breathing exercises to prevent complications such as pneumonia.
  4. Gradual resumption of normal activities and diet under the guidance of healthcare providers.
  5. Follow-up appointments with the surgeon to monitor healing and address any concerns or complications.

What to Ask Your Doctor

  1. What specific type of thoracic surgery procedure do I need?
  2. What are the potential risks and complications associated with the surgery?
  3. How experienced are you in performing this type of thoracic surgery?
  4. What is the expected recovery time after the surgery?
  5. Will I need any additional treatments or therapies after the surgery?
  6. What can I do to prepare for the surgery and optimize my outcome?
  7. Are there any alternative treatment options to consider?
  8. How will my pain be managed after the surgery?
  9. What follow-up appointments or tests will be necessary after the surgery?
  10. What is the expected long-term prognosis following the surgery?

Reference

Authors: Rowse PG, Dearani JA. Journal: Thorac Surg Clin. 2019 Aug;29(3):303-309. doi: 10.1016/j.thorsurg.2019.03.007. PMID: 31235299