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TED Talks Daily

Lifelike simulations that make real-life surgery safer | Peter Weinstock

TED Talks Daily

TED

Ted, Ted Talks Daily, Ted Podcast, Ted Talks, Society & Culture

4.112.1K Ratings

🗓️ 24 October 2017

⏱️ 17 minutes

🧾️ Download transcript

Summary

Critical care doctor Peter Weinstock shows how surgical teams are using a blend of Hollywood special effects and 3D printing to create amazingly lifelike reproductions of real patients -- so they can practice risky surgeries ahead of time. Think: "Operate twice, cut once." Glimpse the future of surgery in this forward-thinking talk.



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Transcript

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0:00.0

This TED Talk features critical care doctor and medical simulation expert, Peter Weinstock, recorded live at TEDx Natick, 2016.

0:20.3

What if I told you there was a new technology that when placed in the hands of doctors and nurses, improved outcomes for children and adults, patients of all ages, reduced pain and suffering, reduced time in the operating rooms, reduced anesthetic

0:42.3

times, had the ultimate dose response curve that the more you did it, the better it benefited

0:49.3

patients. Here's a kicker. It has no side effects. And it's available no matter where care is delivered.

0:57.4

I can tell you as an ICU doctor at Boston Children's Hospital, this would be a game changer for me.

1:03.3

That technology is life-like rehearsal. This life-like rehearsal is being delivered through medical simulation. I thought I would

1:14.5

start with a case. Just to really describe the challenge ahead and why this technology is not just going to

1:23.1

improve health care, but why it's critical to health care. This is a child that's born, young girl, day of life zero, we call it, the first day of life,

1:33.0

just born into the world.

1:34.0

And just as she's being born, we notice very quickly that she is deteriorating.

1:38.8

Her heart rate is going up, her blood pressure is going down.

1:41.6

She's breathing very, very fast.

1:48.5

And the reason for this is displayed in this chest x-ray.

1:53.2

It's called a baby gram, and this is a full x-ray of a child's body, a little infant's body.

1:57.5

And as you look on the top side of this, that's where the hearts and lungs are supposed to be.

2:05.5

And as you look at the bottom end, that's where the abdomen is, and that's where the intestines are supposed to be. And as you look at the bottom end, that's where the abdomen is, and that's where the intestines are supposed to be. And you can see how there's sort of that translucent area that's made its way up into the right side of this child's chest. And that are the intestines in the wrong

2:12.2

place. And as a result, they're pushing on the lungs and making it very difficult for this poor baby

2:17.8

to breathe. And the fix for this problem is to take this child immediately to the operating

2:22.6

room, bring those intestines back into the abdomen, let the lungs expand, and allow this child

2:27.8

to breathe again. But before she can go to the operating room, she must get whisked away

2:32.6

to the ICU where I work, and I work

2:35.2

with surgical teams, and we gather around her, and we place this child on heart-lung bypass.

...

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