Pulmonary Critical Care & Sleep Medicine 

John Sealy

Simulation LabPulmonary Critical Care & Sleep Medicine

Simbionix Virtual Reality Bronchoscopy Simulator

Ssimbionixsimulatorince July 2012, Pulmonary & Critical Care fellows are enhancing their bronchoscopy skills utilizing the Simbionix Virtual Reality Bronchoscopy Simulator. Simulation modules have been developed in conjunction with and endorsed by the American Association for Bronchology and Interventional Pulmonology (AABIP). Novice fellows begin by acquiring skills such as scope control, 3D cognitive perception, and detailed anatomical knowledge. More advanced bronchoscopists complete "virtual" clinical procedures involving various methods for tissue sampling while also controlling and maintaining patient's condition throughout the procedure or reacting/solving complications. Simulation provides an optimal learning environment for simple and complex tasks and provides immediate, real-time feedback.

hands-on-teachingThe Division of Pulmonary Critical Care & Sleep Medicine in conjunction with the Department of Internal Medicine is pleased to announce the opening of an Ultrasound Simulation Center. The center is currently geared to train Faculty, Fellows and House Staff in the use of ultrasound techniques to guide procedures such as central venous catheter placement and thoracentesis and as an adjunct to the critical care exam (e-FAST).

The ultrasound guided central venous catheterization simulation module includes a pre-course reading and video review. The class will begin with a 30 minute introduction and overview. During this time, key anatomical landmarks, indications for internal jugular central venous catheters (CVCs), techniques of placing CVCs, and complications, will be discussed.

didacticThe next 1 ½ hours will be dedicated to simulation of placement of a central venous line via the internal jugular approach using real-time ultrasound guidance. Familiarity with ultrasound equipment, identification of anatomy on ultrasound in the long and short axis, and how to prepare for USG-CVC insertion will be reinforced with a hands-on approach using a high-fidelity phantom. There will be time allotted for individual and group feedback as well as question and answer.

For questions about enrollment dates and times, contact:

Shawn P.E. Nishi, MD
Associate Professor
Program Director
Division of Pulmonary Critical Care & Sleep Medicine

301 University Blvd., Galveston, TX 77555-0561
5.140 John Sealy Annex

Phone: 409.772.2436
Pager: 409.643.4587
Fax: 409.772.9532
E-mail: spnishi@utmb.edu