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Educational simulation of hemodynamic transitions during and shortly after birth.

Sá Couto, C D; Andriessen, P; van Meurs, W L; de Campos, D Ayres; Goodwin, J A

Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: October 2006 - Volume 1 - Issue 3 - p 187
Abstracts: Abstracts Presented at the 12th Annual Meeting of the Society in Europe for Simulation Applied to Medicine (SESAM): June 29–July 1, 2006 • Porto, Portugal: Theme Session Presentation # 28

1INEB – Instituto de Engenharia Biomédica, Laboratório de Sinal e Imagem Biomédica, Porto, Portugal, 2Neonatal intensive care unit, Máxima Medical Center, Veldhoven, The Netherlands, 3Medical Education Technologies, Inc., Sarasota, Florida, USA, 4Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA, 5Faculdade de Medicina, Universidade do Porto, Porto, Portugal, 6Nemours Children’s Clinic-Jacksonville, Jacksonville, Florida and Mayo Medical School, Rochester, Minnesota, USA

After a brief discussion of clinical educational needs related to normal and abnormal hemodynamic transitions at birth, we present an adaptation of an existing model of the fetal cardiovascular system (1). This model, with relatively simple and intuitive modifications, allows for educational simulation of hemodynamic transitions during and immediately after birth: removal of placental circulation and closure of foramen ovale, ductus arteriosus and ductus venosus. In this study we consider normal hemodynamic transitions up to 48h after birth.

After expansion of the cardiovascular model with a model for oxygen transport, we intent to use it to simulate the differences between a neonate with persistent pulmonary hypertension and a neonate with cyanotic heart disease.

Preliminary simulation results of the normal hemodynamic transition are under progress and will be presented at the conference. The developed models can form the basis for screen-based or full-body educational simulators.

(1) Huikeshoven F, et al. Am J Physiol 1980; 239: R317-R325.
    © 2006 Society for Simulation in Healthcare