Enhanced Experiential Learning in Airway Management

Abstract

Introduction: Failure of airway management remains a significant source of morbidity and mortality. Advanced airway management has been addressed effectively by simulation-based training. However, simulation of difficult airways in manikins is limited by the pre-set conditions provided by the manufacturer. Life-like conditions in the form of the softness of the tissue and true anatomy as seen in cadaver models are needed to create simulated models with a closer resemblance to real patients. The goal of this study was to determine the feasibility of simulating difficult airway from submandibular abscess in cadaver models by surgical modification of the cadaver heads for use in enhanced experiential learning of the management of difficult airways. Methods: The cadaver heads were modified surgically to simulate a submandibular abscess. The models were used in an airway course where participants provided feedback on the realistic nature of the model and its benefits for difficult airway training. The ease of tracheal intubation of the models with the assistance of video laryngoscopy was assessed.Results: The modified cadavers were acceptable in simulating difficult airway as demonstrated by the feedback from the participants. All participants (100% [95% confidence interval = 89.1%-100%]) found the models to be realistic and beneficial for difficult airway training. A good proportion (56.3%) felt that the intubation technique was made easier with the video laryngoscopy. Conclusions: Cadavers can be modified to simulate pathologies associated with difficult airways. These models can be used to enhance experiential learning and the management of difficult airways.

Application of Experiential Education Based on Modern Teaching Concept in College Management

“…In the experiential teaching method, teachers no longer simply impart theoretical knowledge but need to guide students to think deeply, help students find problems, and analyze problems and try to solve them. It is also in line with the cognitive needs of contemporary college students to experience and verify knowledge through their own perception and cognition [11][12][13][14][15].…”

Expanding scope of Kirkpatrick model from training effectiveness review to evidence-informed prioritization management for cricothyroidotomy simulation

“…A research gap has long been identified in mainstream healthcare education studies regarding evaluation of training effectiveness: Hardly did researchers touch on behavioral change following training (Level-3), not to mention organizational outcomes (Level-4) nor cost-benefits (Level-5) [ 12 , [15] , [16] , [17] ]. To date, no academic paper has been identified to cover how innovative 3D-printed simulator as replacement [ 18 , 19 ] with standardized curriculum used to structurally assess training effectiveness on Level-4 or above, in particular ROI or cost-effectiveness analysis, in a reproducible manner [ 11 , [19] , [20] , [21] , [22] ].…”

Harnessing power of simulation training effectiveness with Kirkpatrick model in emergency surgical airway procedures

“…Porcine model might weaken training effectiveness due to differences in anatomical structure and size from human cadaver [ 14 , 19 ]. Despite human cadaver as alternative, their usage appears undesirable due to concerns about hygiene, market supply, and operation costs [ 23 , 24 ].…”