Low-cost versus high-fidelity pediatric simulators for difficult airway management training: a randomized study in continuing medical education
Braz. J. Anesth. (Impr.)
;
73(3): 250-257, May-June 2023. tab, graf
Article
in English
| LILACS
| ID: biblio-1439608
ABSTRACT
Abstract Background:
High-fidelity (HF) pediatric patient simulators are expensive. This randomized study aimed to compare the quality and educational impact of a full-scale simulation workshop with an HF infant simulator (SimBaby™, Laerdal) or with a low-cost (LC) simulator composed of an inert infant manikin with SimBaby™ software that displays respiratory/hemodynamic parameters on a monitor for medical education in pediatric difficult airway management.Methods:
After written informed consent, anesthetists and emergency or ICU physicians participated in teams (4 to 6 participants) in a training session that included direct participation and observation of two difficult intubation scenarios. They were randomized into two groups (HF group, n = 65 and LC group, n = 63). They filled out a simulation quality score (SQS, 0 to 50), self-evaluated their anesthetists' non-technical skills (ANTS) score (15 to 60), and an educational quality score (EQS, 0 to 60) immediately (T0, main criteria), as well as 3 (T3) and 6 (T6) months after the training session.Results:
We enrolled 128 physicians. Direct participation SQS (39 ± 5 HF group versus 38 ± 5 LC group), observation SQS (41 ± 4 H F group versus 39 ± 5 LC group), ANTS scores (38 ± 4 HF group versus 39 ± 6 LC group), T0 SQS (44 ± 5 HF group versus 43 ± 6 LC group), T3 and T6 SQS were not different between groups.Conclusion:
Our low-cost simulator should be suggested as a less expensive alternative to an HF simulator for continuing medical education in pediatric difficult airway management.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Education, Medical, Continuing
/
Simulation Training
Type of study:
Controlled clinical trial
/
Health economic evaluation
Limits:
Child
/
Child, preschool
/
Humans
/
Infant
Language:
English
Journal:
Braz. J. Anesth. (Impr.)
Year:
2023
Type:
Article
Affiliation country:
France
Institution/Affiliation country:
CHU Nantes/FR
/
lUniversité (LESiMU) de Nantes/FR
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