Fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique

Background: Fresh frozen human cadavers have been used at the Clinical Trainingand Evaluation Centre, The University of Western Australia, Perth, WA for years andare an excellent model for surgical dissection thanks to their representative tissuequality. Differentiation between artery and vein can b...

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Main Authors: Jansen, Shirley, Kirk, D., Tuppin, K., Cowie, M., Bharadwaj, A., Hamdorf, J.
Format: Journal Article
Published: John Wiley & Sons 2011
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/49737
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author Jansen, Shirley
Kirk, D.
Tuppin, K.
Cowie, M.
Bharadwaj, A.
Hamdorf, J.
author_facet Jansen, Shirley
Kirk, D.
Tuppin, K.
Cowie, M.
Bharadwaj, A.
Hamdorf, J.
author_sort Jansen, Shirley
building Curtin Institutional Repository
collection Online Access
description Background: Fresh frozen human cadavers have been used at the Clinical Trainingand Evaluation Centre, The University of Western Australia, Perth, WA for years andare an excellent model for surgical dissection thanks to their representative tissuequality. Differentiation between artery and vein can be difficult as both collapse postmortem. A historical technique was therefore refined to increase arterial rigidity usinggelatine prior to freezing.Methods: Two fresh human cadavers were selected after ethical approval. Gelatinewas infused into the carotid artery in one, and into the common femoral artery in thesecond at a more dilute concentration. In both cases, infusion continued until the rateslowed spontaneously indicating filling prior to setting. The cadavers were frozenaccording to our standard policy and thawed for a teaching course.Results: These were observational. Examination by palpation and dissection afterfreezing and subsequent thawing revealed arterial turgor to have developed at thepopliteal and brachial levels in the first cadaver, and to the distal vessels in the second.Arterial/venous discrimination was therefore enhanced and confirmed by participantfeedback on subsequent courses.Conclusion: The fresh frozen cadaver is already a superior model for teaching thanksto its near life-like representation of tissue quality and handling. A successful techniquefor infusion of gelatine into the arterial tree of fresh human cadavers prior tofreezing has been refined resulting in enhancement of arterial/venous discriminationduring anatomical, interventional and surgical teaching, further optimizing its use inteaching and this now our standard means of preparation.
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spelling curtin-20.500.11937-497372017-09-13T16:09:43Z Fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique Jansen, Shirley Kirk, D. Tuppin, K. Cowie, M. Bharadwaj, A. Hamdorf, J. infusion dissection cadaver gelatine education Background: Fresh frozen human cadavers have been used at the Clinical Trainingand Evaluation Centre, The University of Western Australia, Perth, WA for years andare an excellent model for surgical dissection thanks to their representative tissuequality. Differentiation between artery and vein can be difficult as both collapse postmortem. A historical technique was therefore refined to increase arterial rigidity usinggelatine prior to freezing.Methods: Two fresh human cadavers were selected after ethical approval. Gelatinewas infused into the carotid artery in one, and into the common femoral artery in thesecond at a more dilute concentration. In both cases, infusion continued until the rateslowed spontaneously indicating filling prior to setting. The cadavers were frozenaccording to our standard policy and thawed for a teaching course.Results: These were observational. Examination by palpation and dissection afterfreezing and subsequent thawing revealed arterial turgor to have developed at thepopliteal and brachial levels in the first cadaver, and to the distal vessels in the second.Arterial/venous discrimination was therefore enhanced and confirmed by participantfeedback on subsequent courses.Conclusion: The fresh frozen cadaver is already a superior model for teaching thanksto its near life-like representation of tissue quality and handling. A successful techniquefor infusion of gelatine into the arterial tree of fresh human cadavers prior tofreezing has been refined resulting in enhancement of arterial/venous discriminationduring anatomical, interventional and surgical teaching, further optimizing its use inteaching and this now our standard means of preparation. 2011 Journal Article http://hdl.handle.net/20.500.11937/49737 10.1111/j.1445-2197.2010.05596.x John Wiley & Sons restricted
spellingShingle infusion
dissection
cadaver
gelatine
education
Jansen, Shirley
Kirk, D.
Tuppin, K.
Cowie, M.
Bharadwaj, A.
Hamdorf, J.
Fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique
title Fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique
title_full Fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique
title_fullStr Fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique
title_full_unstemmed Fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique
title_short Fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique
title_sort fresh frozen cadavers in surgical teaching: a gelatine arterial infusion technique
topic infusion
dissection
cadaver
gelatine
education
url http://hdl.handle.net/20.500.11937/49737