Simulation based training versus non-simulation based training in anesthesiology: A meta-analysis of randomized controlled trials

Su, Yi; Zeng, Yi

doi:10.1016/j.heliyon.2023.e18249

Cited by 8 publications

(4 citation statements)

References 33 publications

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“…It has been shown that skill acquisition and retention are better when trainees are trained on simulation manikins as compared to non-simulation manikins. 8 , 9 Training in the SALAD technique classically requires high-fidelity manikins specially modified to regurgitate simulated contaminants from the esophagus during attempts at intubation. But these simulators are very costly.…”

Section: Discussionmentioning

confidence: 99%

An Indigenous Suction-assisted Laryngoscopy and Airway Decontamination Simulation System

Kumar,

Kumar

2024

Indian Journal of Critical Care Medicine

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A bstract Background Suction-assisted laryngoscopy and airway decontamination (SALAD) is a new modality and training manikins are quite costly. Few modifications have been described with their pluses and minuses. We describe a low-cost simulator that replicates fluid contamination of the airway at various flow rates and allows the practice of SALAD in vitro . Materials and methods We modified a standard Laerdal airway management trainer with locally available equipment to simulate varying rates of continuous vomiting or hemorrhage into the airway during intubation. The effectiveness of our SALAD simulator was tested during an advanced airway workshop of the Airway Management Foundation (AMF). The workshop had a brief common presentation on the learning objective of the SALAD technique followed by a demonstration to small groups of 5–6 participants at one time with necessary instructions. This was followed by a hands-on practical learning session on the simulator. Results One hundred and five learners used the simulator including 15 faculties and 90 participants (48 on ICU and 42 on ENT workstations). At the end of the session, the workshop faculty and participants were asked to rate their level of confidence in managing similar situations in real practice on a four-point Likert scale. All 15 faculty members and 70 out of 90 participants felt very confident in managing similar situations in real practice. Fifteen participants felt fairly confident and 5 felt slightly confident. Conclusion In resource-limited settings, our low-cost SALAD simulator is a good educational tool for training airway managers in the skills of managing continuously and rapidly soiling airways. How to cite this article Kumar R, Kumar R. An Indigenous Suction-assisted Laryngoscopy and Airway Decontamination Simulation System. Indian J Crit Care Med 2024;28(7):702–705.

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Section: Discussionmentioning

confidence: 99%

An Indigenous Suction-assisted Laryngoscopy and Airway Decontamination Simulation System

Kumar,

Kumar

2024

Indian Journal of Critical Care Medicine

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“…In recent scholarly works, simulation in the field of health care has been described as "any technology or process that recreates a contextual background, allowing learners to encounter success, make errors, receive feedback, and build confidence within a secure setting" [1,2]. One of the noteworthy advantages of simulation is its ability to offer practical exposure to uncommon clinical crisis situations in the operating room, requiring proficiency in clinical management [3,4].…”

Section: Simulation In Anesthesia Education: Navigating Challenges An...mentioning

confidence: 99%

Transformative Landscape of Anesthesia Education: Simulation, AI Integration, and Learner-Centric Reforms: A Narrative Review

Komasawa

2024

Anesthesia Research

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This article examines the intersection of simulation-based education and the AI revolution in anesthesia medicine. With AI technologies reshaping perioperative management, simulation education faces both challenges and opportunities. The integration of AI into anesthesia practice offers personalized management possibilities, particularly in preoperative assessment and monitoring. However, the ethical, legal, and social implications necessitate careful navigation, emphasizing patient data privacy and accountability. Anesthesiologists must develop non-technical skills, including ethical decision-making and effective AI management, to adapt to the AI era. The experience-based medical education (EXPBME) framework underscores reflective learning and AI literacy acquisition, fostering lifelong learning and adaptation. Learner-centered approaches are pivotal in anesthesia education, promoting active engagement and self-regulated learning. Simulation-based learning, augmented by AI technologies, provides a dynamic platform for technical and non-technical skills development. Ultimately, by prioritizing non-technical skills, embracing learner-centered education, and responsibly leveraging AI technologies, anesthesiologists can contribute to enhanced patient care and safety in the evolving perioperative landscape.

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“…A growing body of evidence suggested that SBME was effective for teaching clinical knowledge, skills, and behaviors compared with traditional methods. Studies have found the effect of SBME in cardiology [ 11 ], anesthesiology [ 12 ], and anatomy [ 13 ]. It might be beneficial to use SBME in clinical research curriculum.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of simulation-based clinical research curriculum for undergraduate medical students - a pre-post intervention study with external control

Huang,

Yan,

Huang

et al. 2024

BMC Med Educ

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Background Simulation is widely utilized in medical education. Exploring the effectiveness of high-fidelity simulation of clinical research within medical education may inform its integration into clinical research training curricula, finally cultivating physician-scientist development. Methods Standard teaching scripts for both clinical trial and cross-sectional study simulation were designed. We recruited undergraduates majoring in clinical medicine at 3th grade into a pre-post intervention study. Additionally, a cross-sectional survey randomly selected medical undergraduates at 4th or 5th grade, medical students in master and doctor degree as external controls. Self-assessment scores of knowledge and practice were collected using a 5-point Likert scale. Changes in scores were tested by Wilcoxon signed-rank test and group comparisons were conducted by Dunn’s tests with multiple corrections. Multivariable quantile regressions were used to explore factors influencing the changes from baseline. Results Seventy-eight undergraduates involved the clinical trial simulation and reported improvement of 1.60 (95% CI, 1.48, 1.80, P < 0.001) in knowledge and 1.82 (95% CI, 1.64, 2.00, P < 0.001) in practice score. 83 undergraduates involved in the observational study simulation and reported improvement of 0.96 (95% CI, 0.79, 1.18, P < 0.001) in knowledge and 1.00 (95% CI, 0.79, 1.21, P < 0.001) in practice. All post-intervention scores were significantly higher than those of the three external control groups, P < 0.001. Higher agreement on the importance of clinical research were correlated with greater improvements in scores. Undergraduates in pre-post study showed high confidence in doing a future clinical research. Conclusion Our study provides evidence supporting the integration of simulation into clinical research curriculum for medical students. The importance of clinical research can be emphasized during training to enhance learning effect.

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Simulation based training versus non-simulation based training in anesthesiology: A meta-analysis of randomized controlled trials

Cited by 8 publications

References 33 publications

An Indigenous Suction-assisted Laryngoscopy and Airway Decontamination Simulation System

An Indigenous Suction-assisted Laryngoscopy and Airway Decontamination Simulation System

Transformative Landscape of Anesthesia Education: Simulation, AI Integration, and Learner-Centric Reforms: A Narrative Review

Effectiveness of simulation-based clinical research curriculum for undergraduate medical students - a pre-post intervention study with external control

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