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Revista de la Sociedad Española del Dolor

Print version ISSN 1134-8046


FLORES, J.C.. New hybrid simulator to teach pain procedures for refractory pain management. Rev. Soc. Esp. Dolor [online]. 2016, vol.23, n.2, pp.105-114. ISSN 1134-8046.

This paper introduces a new simulator to be used in the training and evaluation of interventional techniques under fluoroscopic visualization in pain medicine, apt for repeating the most broadly used procedures in the head and neck, trunk, lumbosacral region and pelvis. This simulator is built using cadaveric bones in synthetic transparent material for training in nerve block procedures under combined ultrasonic and fluoroscopic guidance. The "New Hybrid Simulator" comprises the use of cadaveric bones surrounded by synthetic material resembling human models in a highly realistic manner. The trainees that attended the workshops during 2014 expressed a high degree of satisfaction when comparing this model to practicing on real patients, fresh cadavers and synthetic simulators. The salient features of this development are: repeating the procedures as many times as necessary for each trainee to meet the minimum requirements and reduce the number and type of potential errors in each technique; conducting appropriate training for certification purposes; facilitating the evaluation of efficacy of training using these models as compared to training on real patients or other modalities (simulators or fresh cadavers); improving accessibility given its low cost, thus avoiding the complexity involved in the preservation of tissues and finally, in the author's opinion reducing the learning curve in a safe setting for patients, trainees, trainers and for the healthcare and university systems at large.

Keywords : Simulators in pain medicine; hybrid simulators in pain medicine; simulation and certification; simulation and safety.

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