Virtual Reality Simulated Patient Encounters

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Tracheostomy Complications—Chronic Tracheostomy with Tracheoinnominate Fistula

In partnership with: NYU Grossman School of Medicine

Book Demo

Anesthesiology Critical Care Emergency Medicine Internal Medicine

Capabilities

Accessibility

Multiplayer

Scenario Information

Room size: 16x13

Learner Population: Physician/Advanced Practice Provider

Language: English

Setting: ICU

Patient Gender: Male

Scenario Description

Patient is a 65-year-old man with prolonged recovery from ARDS due to pneumonia, requiring continued mechanical ventilatory support, who underwent percutaneous tracheostomy insertion 20 days ago. The learner is called to the bedside by the MICU nurse due to bright red blood oozing from the tracheostomy and from the stoma. The Learner should suspect a tracheoinnominate fistula (TIF), call for an airway team and stat ENT consult, and perform the appropriate bedside management for TIF.

Learning Objectives

– Recognize the importance of determining: a) why a tracheostomy was performed, b) when it was performed, and c) the type of tracheostomy tube in place.

– Demonstrate appropriate management of suspected tracheoinnominate fistula, including obtaining emergent ENT consultation.

MINIMUM:

OS: Windows 10
Processor: Intel Core i5-2300 | AMD FX-4350
Memory: 4 GB RAM
Graphics: Nvidia GeForce GTX 2060
DirectX: Version 11
Storage: 12 GB available space

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