Comparison of Web-Based and On-Site Lung Simulators for Education in Mechanical Ventilation.
| Autor: | Safadi S; Division of Nephrology and Hypertension, University of Minnesota, Minneapolis, Minnesota. Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota, Minneapolis, Minnesota. safad002@umn.edu., Acho M; Division of Pulmonary and Critical Care Medicine, University of Michigan Medical Center, Ann Arbor, Michigan., Maximous SI; Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania., Keller MB; Department of Critical Care Medicine, National Institutes of Health, Bethesda, Maryland., Kriner E; Respiratory Therapy Department, Medstar Washington Hospital Center, Washington, DC., Woods CJ; Division of Pulmonary and Critical Care Medicine, Medstar Washington Hospital Center, Washington, DC., Sun J; Department of Critical Care Medicine, National Institutes of Health, Bethesda, Maryland., Staitieh BS; Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University, Atlanta, Georgia., Lee BW; Department of Critical Care Medicine, National Institutes of Health, Bethesda, Maryland., Seam N; Department of Critical Care Medicine, National Institutes of Health, Bethesda, Maryland. |
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| Jazyk: | angličtina |
| Zdroj: | Respiratory care [Respir Care] 2024 Oct 25; Vol. 69 (11), pp. 1353-1360. Date of Electronic Publication: 2024 Oct 25. |
| DOI: | 10.4187/respcare.12072 |
| Abstrakt: | Background: Training in mechanical ventilation is a key goal in critical care fellowship education. Web-based simulators offer a cost-effective and readily available alternative to traditional on-site simulators. However, it is unclear how effective they are as teaching tools. In this study, we evaluated the test scores of fellows who underwent mechanical ventilation training by using a web-based simulator compared with fellows who used an on-site simulator during a mechanical ventilation course. Methods: This was a nonrandomized controlled trial conducted as part of a mechanical ventilation course that involved 70 first-year critical care fellows. The course was identical except for the simulation technology used. One group of instructors used a traditional on-site simulator, the ASL 5000 Lung Solution ( n = 39). The second group was instructed in using a web-based simulator, VentSim ( n = 31). Each fellow completed a pre-course test and a post-course test by using a validated, case-based ventilator waveform examination that consisted of 5 questions with a total possible score of 100. The primary outcome was a comparison of the mean scores on the posttest between the 2 groups. The study was designed as a non-inferiority trial with a predetermined margin of 10 points. Results: There was no significant difference in the mean ± SD pretest scores between the web-based and the on-site groups (21.1 ± 12.6 and 26.9 ± 13.6 respectively; P = .11). The mean ± SD posttest scores were 45.6 ± 25.0 for the web-based simulator and 43.4 ± 16.5 for on-site simulator (mean difference 2.2; one-sided 95% CI -7.0 to ∞; P Conclusions: In the education of first-year critical care fellows on mechanical ventilation waveform analysis, a web-based mechanical ventilation simulator was non-inferior to a traditional on-site mechanical ventilation simulator. Competing Interests: Dr Safadi is the creator of the web-based mechanical ventilation simulator that was used in this study. The remaining authors have reported no conflicts of interest. (Copyright © 2024 by Daedalus Enterprises.) |
| Databáze: | MEDLINE |
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