Performance Assessment in Airway Management Training for Nonanesthesiology Trainees

Grissom, Thomas E.; Sappenfield, Joshua W.; Galvagno, Samuel M.; Cherry, Shane V.; Chang, Yu-Cherng; Hu, Peter

doi:10.1097/aln.0000000000000064

Cited by 13 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We felt this cadre of learners were primed with basic airway management principles and best prepared to engage in more advanced discussions, practice, and high-fidelity simulations that would push their medical knowledge, skills, and comfort to a higher level than before participation in our curriculum. 26 , 27 We highlighted the latter groups of community hospital-based learners based on epidemiologic trends of where pediatric critical illness is often initially managed, and based on our author group's and others' prior experiences using in-situ simulation as a tool to gain a deeper understanding of the challenges providers face with respect to their pediatric critical care skills. 4 – 8 , 11 , 25 , 28 – 30 …”

Section: Introductionmentioning

confidence: 99%

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

et al. 2020

View full text Add to dashboard Cite

Introduction: Advanced airway management in pediatrics is a rare, high stakes skillset. Developing proficiency in these skills is paramount, albeit challenging. Providers require innovative approaches to address initial training and maintenance of procedural competency. To address this, we developed a multimodality curriculum. Methods: Through an interactive problem-based learning session utilizing real intubation videos, hands-on skill stations, and two simulation-based scenarios, participants advanced through educational objectives towards the goal of improving perceived comfort, knowledge, skills, and attitudes in emergency pediatric advanced airway management. Content was developed by integrating varied learning modalities under the learn, see, practice, prove, do, maintain construct. Please note the specialized equipment needed for this curriculum included pediatric airway trainers and a video laryngoscope. Results: We have conducted the curriculum in its entirety four times, reaching 131 interdisciplinary participants. Forty-nine physicians of varying training backgrounds and clinical working environments completed postparticipation evaluations. On a Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree), a significant improvement in perception of comfort with managing the emergent pediatric airway was noted (2.7 to 4.6, p < .0001). Further, 94% of participants reported they strongly agreed (71%) or agreed (23%) that each station added to their perceived knowledge, skills, and attitudes of pediatric airway management. Discussion: After participating in our curriculum, participants self-reported improved comfort in managing the emergent pediatric airway. This curriculum provides educators with resources to navigate the paradigm of obtaining and maintaining competency of a rare but critical skillset.

show abstract

Section: Introductionmentioning

confidence: 99%

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

et al. 2020

View full text Add to dashboard Cite

show abstract

“…These rates of clinical success, achieved very early during the fellow year, compare favourably to existing data related to intubation success in inexperienced trainees 11,12 . Recently, Grissom et al evaluated nonanaesthesia trainees performing airway management in a tertiary centre while on an anaesthesia rotation 13 . In their study, the most inexperienced trainees reported a success rate ranging from 85% to 90% over the four-week rotation.…”

Section: Discussionmentioning

confidence: 99%

The impact of a Cadaver-Based Airway Lab on Critical Care Fellows’ Direct Laryngoscopy Skills

Wise

Henao

Gómez

et al. 2015

Anaesth Intensive Care

View full text Add to dashboard Cite

This study sought to determine the impact of a cadaver-based airway lab on critical care medicine fellows' direct laryngoscopy skills and hypothesised that fellows can improve their self-reported percentage of glottic opening (POGO) scores in cadaver models to achieve POGO scores similar to that of expert faculty. Nineteen fellows attended an airway management skills laboratory utilising five modified cadavers. Initial fellow POGO (POGOi) visualised was recorded at the onset with direct laryngoscopy. Maximum fellow POGO score with optimised direct laryngoscopy was recorded after two additional hours of teaching and also during a testing phase several days later. Data was assessed for significant differences between trainee POGO scores at each time interval and between trainee POGO scores and expert scores. A departmental procedural database was utilised to examine success rates of intubation as a clinical correlation. Fellows' mean POGOi scores, averaged across all five specimens, were significantly lower than both their maximum POGO scores and their testing phase POGO scores. Mean POGOi scores for fellows, averaged over all five cadavers, were lower than the instructors' POGOi scores. There was no difference between fellows' and instructors' mean maximum POGO or mean testing phase POGO scores. Clinical success rates of intubation were over 98%. A short training session using modified cadavers can be utilised to teach new critical care medicine fellows additional techniques for airway management and assist them in obtaining higher POGO scores, similar to those of expert instructors. Success rates of clinical intubations were favourable in the wake of this training.

show abstract

“…However, anesthesiologists have continued to influence ED airway management through development of new equipment and medications, evolution of techniques and algorithms, and training EM residents in the OR. 17 Prehospital airway management has evolved as well. Many EMS systems provide training and support for emergency medical technicians (EMTs) to perform medication-assisted RSI for severely injured trauma patients.…”

Section: Airway Managementmentioning

confidence: 99%

Five Decades of Trauma Anesthesiology

Dutton¹,

Varon

2023

Anesthesia &Amp; Analgesia

View full text Add to dashboard Cite

show abstract

Performance Assessment in Airway Management Training for Nonanesthesiology Trainees

Abstract: An anesthesiology-based program for airway training of nonanesthesiologists demonstrates improved self-reported, perceived first-attempt success over the course of training with improved ability to visualize glottic structures.

Cited by 13 publications

References 24 publications

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

The impact of a Cadaver-Based Airway Lab on Critical Care Fellows’ Direct Laryngoscopy Skills

Five Decades of Trauma Anesthesiology

Contact Info

Product

Resources

About