An evaluation of Thiel-embalmed cadavers for ultrasound-based regional anaesthesia training and research

McLeod, G., Eisma, R., Schwab, A., Corner, G., Soames, R. and Cochran, S. (2010) An evaluation of Thiel-embalmed cadavers for ultrasound-based regional anaesthesia training and research. Ultrasound, 18(3), pp. 125-129. (doi: 10.1258/ult.2010.010016)

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Abstract

Working hours of UK trainee doctors have recently been reduced to 48 hours per week, reducing exposure to clinical cases. As such, there is widespread acceptance that trainees need to train in environments other than the ward or operating theatre in order to gain practical skills. Formalin-fixed cadavers demonstrate gross muscle and nerve anatomy but needle insertion under ultrasound guidance is poor. In contrast, a new development in medical simulation is the use of Thiel-embalmed cadavers, developed by Professor Thiel of the University of Graz, Austria, using a novel preservation technique that retains full flexibility of the limbs. Thiel cadavers have been used to successfully simulate laparoscopic surgery, neurosurgery and oral surgery. This paper investigates, for the first time, the application of ultrasound-based regional anaesthesia to the Thiel cadaver by tracing the course of peripheral nerves, injecting local anaesthetic around nerves, and reproducing inadvertent intraneural injection by injecting preservative directly into the nerve. The Thiel cadaver provides good conditions for anaesthetists to simulate regional anaesthetic block techniques using ultrasound.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Cochran, Professor Sandy
Authors: McLeod, G., Eisma, R., Schwab, A., Corner, G., Soames, R., and Cochran, S.
College/School:College of Science and Engineering > School of Engineering > Systems Power and Energy
Journal Name:Ultrasound
ISSN:1742-271X
ISSN (Online):1743-1344

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