Virtual Reality Simulated Patient Encounters

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Tracheostomy Complications—Cuff Leak

In partnership with: NYU Grossman School of Medicine

Book Demo

Critical Care

Capabilities

Accessibility

Multiplayer

Scenario Information

Room size: 16x18

Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider

Language: English

Setting: Hospital

Patient Gender: Male

Scenario Description

In this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm on the ventilator. The patient has a prolonged recovery from ARDS and requires a continual mechanical ventilatory support. He also underwent percutaneous tracheostomy insertion 10 days ago. The learner should examine the patient and ventilator to determine that there is a cuff leak. They must then try to inflate the cuff, though it will be unsuccessful. For a successful scenario, the learner must safely remove and replace the tracheostomy to stabilize the patient.

Learning Objectives

1. Recognize the signs and symptoms of a tracheostomy cuff leak.
2. Determine why a tracheostomy was performed, when it was inserted, and if the patient can be intubated from above.
3. Safely remove and replace a tracheostomy.

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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