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23Jun

A Review of the Global Healthcare Simulation Economy

In February 2022, researchers from Seattle Children’s Hospital and the University of Washington School of Medicine took an in-depth look at health simulation, its economic impact, and significant hurdles to its widespread acceptance. The full manuscript, written by Taylor Sawyer, Megan M. Gray, and Rachel Umoren, is available on the Cureus website. Below is a summary of their findings.

An expanding area of healthcare involves simulation, a technique that allows for improved practice, learning, evaluation, or understanding of human actions or systems without endangering real-life patients. The benefits of healthcare simulation include improvements in patient clinical care and outcome, leading to its rapid growth over the last decade.

The review by Sawyer et al. predicts a continued expansion of the global healthcare simulation market’s products and services. A 2019 estimate of the worldwide healthcare simulation market placed its value between $1.42 to 2.27 billion, while the market is projected to reach $3.19 to $7.7 billion by 2027.

16Jun

Best Practice Recommendations for Optimizing Care in Structural Heart Programs Using PEARLS

In light of the impact of the COVID-19 pandemic, researchers from coast to coast worked together to offer recommendations for best practices in Planning Efficient and Resource Leveraging Systems (PEARLS) in structural heart programs. The entire manuscript was written by Elizabeth M. Perpetua, Kimberly A. Guibone, Patricia A. Keegan, Roseann Palmer, Martina K. Speight, Kornelija Jagnic, Joan Michaels, Rosemarie A. Nguyen, Emily S. Pickett, Dianna Ramsey, Susan J. Schnell, Shing-Chiu Wong, and Mark Reisman and published in May 2021, can be found in Structural Heart. A summary of their best practice recommendations is outlined below.The COVID-19 pandemic has created an opportunity to refine patient care for structural heart disease (SHD). This evolves around optimal care, informally defined as “the right care for the right patient at the right place at the right time.” A patient’s treatment plan revolves around patient goals and preferences while also weighing risk versus benefit analysis. Additionally recommended when determining a treatment plan are a systemic assessment of Heart Team roles and functions, hospital capacity, and patient and procedural risks that can occur when more resources are used.

05Jun

Renal Hemodynamics And Oxygenation in Critically Ill Patients and After Major Surgery

In May 2021, researchers from the University of Gothenburg Department of Anesthesiology and Intensive Care Medicine took an in-depth analysis of the health status of those with acute renal dysfunction due to health conditions such as early clinical septic shock, chronic renal failure, postoperative AKI, liver transplantation, and cardiac surgery with cardiopulmonary bypass. The complete manuscript, written by Sven-Erik Rickstein, Gudrun Bragadottir, Lukas Lannemyr, Bengt Redfors, and Jenny Skytte, can be found on the Kidney 360 website. The results of the study are detailed below.

The primary data set obtained by this study was renal oxygen, with its availability determined by the balance of renal oxygen delivery (RDO2) and renal oxygen consumption (RVO2). The results were then separated by the health condition contributing to acute renal dysfunction, with the following key findings.

Rickstein et al. first measured renal perfusion, filtration, and oxygenation in patients within 24-hours of hospital admittance due to early clinical septic shock. The results concluded that RDO2 was impaired in these patients due to renal vasoconstriction and the redistribution of blood flow away from the kidneys.