Proposed Topic (Most preferred): :
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
Proposed Topic (Second preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Authors (including presenting author) :
Lim HK (1), Wan HY (1), Chan TL (1), Lau M (1), Yim CH (1), Fung SH (1), Wong LY (1)
Affiliation :
(1) Department of Cardiothoracic Surgery, Queen Mary Hospital
Introduction :
Cardiopulmonary bypass (CPB) is a technique used in cardiac surgeries to temporarily replace the functions of the heart and lungs, providing a still and motionless heart for the surgical team to work on while maintaining patient hemodynamics. Successful management of CPB is crucial in reducing complications and improving outcomes, particularly for patients with pre-existing comorbidities. To enhance skills and collaboration within the Department of Cardiothoracic Surgery (CTSD), CPB simulation sessions, known as CPB Drills, are conducted. These sessions offer a safe environment for perfusionists and junior surgeons to practice emergency scenarios encountered during CPB, fostering communication, teamwork, and refining CPB management skills. By engaging in hands-on practice and promoting effective communication, these drills aim to improve patient care and ensure readiness in critical situations.
Objectives :
(1) To stimulate critical thinking and decision-making skills, in context of cardiopulmonary bypass management, among perfusionists and junior surgeons
(2) To strengthen communication and teamwork to enhance coordination and collaboration during CPB procedure
(3) To improve and refine current practice of CPB management for CTSD perfusionists by identifying areas for enhancement and implementing evidence-based strategies to optimize CPB outcomes
Methodology :
The intervention involves designing emergency scenarios for perfusionists to simulate various complications during cardiopulmonary bypass. A 4- hour simulation sessions are conducted every 6 months, involving perfusion team, junior anesthetists and surgeons. Data collection includes participant feedback through questionnaires to evaluate effectiveness of the simulation and identify areas for improvement. Quantitative and qualitative analysis will be performed to assess strengths, weaknesses and suggestions for enhancement.
Result & Outcome :
The CPB simulation is expected to have several positive outcomes. Firstly, we anticipate that the simulation will enhance teamwork and communication among team members. Secondly, we anticipate that critical thinking and decision-making skills will be strengthened. Finally, we anticipate that the simulation will improve team’s ability to handle emergency and complex CPB scenarios.
The introduction of CPB simulation holds potential to improve teamwork, communication, critical thinking and decision-making among different multidisciplinary teams. Ultimately, implementation of simulation sessions has the potential to enhance patient care and safety in cardiac surgeries.
