Failure of simulation training to change residents’ management of oesophageal intubation †

Abstract

This failure to change may have been secondary to a lack of criterion validity, lack of repetition or a long duration between episodes. The expectations for management were not regarded as being advantageous in simulation, but they were successfully adopted in actual clinical emergencies.

Review article: Simulation in anesthesia: state of the science and looking forward

“…Olympio et al 54 did not show improvement in anesthesia residents' management of esophageal intubation following simulation-based training. Borges et al 55 did not observe significant changes in practicing anesthesiologists' airway management of a ''cannot intubate, cannot ventilate'' simulated scenario following simulation training.…”

Feasibility and fidelity of practising surgical fixation on a virtual ulna bone

“…Most studies examining virtual simulators include short questionnaires for the users to complete after they have used the simulator; the questionnaires use either Likert scales or yes/no responses to determine the face validity and effectiveness of a simulator. [6][7][8][9][10][11][12][13][14] Longer selfreport questionnaires have the ability to be more specific and can help determine user-friendliness, training capacity for the simulator, first impressions of the design and users' experience with the simulator. 15,16 These questionnaires can also inform the further development of the simulator.…”

“…2 A literature review of medically related questionnaires for virtual simulators provided many types of questions. [6][7][8][9][10][11][12][13][14][15][16][24][25][26] The questions most closely associated with this type of procedure and these domains of fidelity were modified, and we created new questions relating to our specific objectives. The questions were designed to assess the environmental, equipment and psychological fidelity domains, as defined by Rehmann and colleagues, 2 of both the Sawbones and virtual simulator in relation to ulna fixation.…”

Training and Assessment of Trauma Management: The Role of Simulation-Based Medical Education

“…These findings of performance improvement after changes in curriculum are not trivial in view of the limited data published supporting the beneficial effects of simulation-based training. The report by Chopra and colleagues [45] demonstrated the positive effect of simulation training on the subsequent management of similar critical incidents, but Olympio and colleagues [46] failed to demonstrate the influence of simulation training on the management of esophageal intubation. However, the suggested beneficial effect of simulation-based airway management training is supported by a recent prospective, randomized, controlled study, which demonstrated that simulator training independently improved scores achieved by interns treating trauma-related scenarios after graduating from a 1-day trauma course, compared with training based on moulage patients [47].…”