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- Jan Hirsch, Jose R Generoso, Renee Latoures, Yahya Acar, and Richard L Fidler.
- From the Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California; and Simulation Center, San Francisco VA Medical Center, San Francisco, California.
- A A Case Rep. 2016 May 1; 6 (9): 268-71.
AbstractThoracic anesthesia procedures are challenging to master during anesthesia training. A Laerdal ALS Simulator® manikin was modified by adding a bronchial tree module to create fidelity to the fourth generation. After modification, placement of endotracheal tubes up to 8.0 mm is possible by direct laryngoscopy, video laryngoscopy, and fiberoptically; in addition, it allows fiberoptically guided insertion of endobronchial blockers. Insertion of left and right 35-Fr double-lumen tubes permits double- and single-lung ventilation with continuous positive airway pressure and positive end-expiratory pressure. This anatomical modification created a high-fidelity training tool for thoracic anesthesia that has been incorporated into educational curricula for anesthesia.
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