Work

A Novel Approach to Cadaver‐Based Soiled Airway Simulation

Year: 2026

Type: article

Abstract: Effective management of heavily soiled airways is a critical and challenging skill across multiple clinical settings. Existing training methods rely largely on manikin-based simulators, which often lack sufficient anatomical realism and haptic fidelity. Here, we describe a novel, low-cost, and practical technique for simulating soiled airways in clinical-grade cadavers. The method employs readily available equipment, including a bougie, Foley catheter, and continuous bladder irrigation system, to rapidly deliver simulated bloody emesis into the proximal esophagus and oropharynx. This technique was successfully implemented on nine clinical-grade cadavers during emergency medicine (EM) and anesthesiology physician airway training sessions. All surveyed instructors reported marked improvements in realism and haptic fidelity compared with traditional manikin-based approaches, and no adverse events occurred during cadaver preparation or course delivery. This novel, cadaver-based soiled airway simulation technique offers a practical and reproducible approach to enhance soiled airway education and research.

Source: AEM Education and Training

DOI: 10.1002/aet2.70182

Authors: Adam Parks, Sean Hurley, Patricia Marks, James Gould

Institutions: Dalhousie University, University of British Columbia

Language: English

Topic: Simulation-Based Education in Healthcare

Subfield: Physiology

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Quality education

Open Access status: hybrid

Estimated APC paid: $3,300