Simulation Training for Critical Care Airway Management
| Autor: | Mina Makaryus, Paul H. Mayo, Rohit Kumar, Ronak Shah, Effie Singas |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Video recording medicine.medical_specialty business.industry medicine.medical_treatment education Endotracheal intubation Critical Care and Intensive Care Medicine Checklist Simulation training Clinical Practice 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Physical therapy Academic Training Medicine Airway management 030212 general & internal medicine Cardiology and Cardiovascular Medicine business Training period |
| Zdroj: | Chest. 158:272-278 |
| ISSN: | 0012-3692 |
| DOI: | 10.1016/j.chest.2020.01.047 |
| Popis: | Background Critical care airway management (CCAM) is a key skill for critical care physicians. Simulation-based training (SBT) may be an effective modality in training intensivists in CCAM. Research Question Is SBT of critical care fellows an effective means of providing training in CCAM, in particular in urgent endotracheal intubation? Study Design and Methods Thirteen first-year pulmonary critical care medicine (PCCM) fellows at an academic training program underwent SBT with a computerized patient simulator (CPS) in their first month of fellowship training. At the end of the training period, the fellows underwent video-based scoring using a 46-item checklist (of which 40 points could be scored) while performing a complete CCAM sequence on the CPS. They were then tested, using video-based scoring on their first real-life CCAM. Maintenance of skill at CCAM was assessed during the fellows' second and third year of training, using the same scoring method. Results For the first-year fellows, the score on the CPS was 38.3 ± 0.75 SD out of a maximum score of 40. The score on their first real-life patient CCAM was 39.0 ± 0.81 SD (P = .003 for equivalence; 95% CI for difference between real-life patient CCAM and CPS scores, 0.011-1.373). Sixteen second- and third-year fellows were tested at a real-life CCAM event later in their fellowship to examine for maintenance of skill. The mean maintenance of skill score of this group was 38.7 ± 1.14 SD. Interpretation Skill acquired through SBT of critical care fellows for CCAM transfers effectively to the real-life patient care arena. Second- and third-year fellows who had initially received SBT maintained skill at CCAM. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|