Preparation of a fiberoptic bronchoscopy training box and evaluation of its efficacy / 第二军医大学学报

ABSTRACT

Objective: To prepare a simple, practical fiberoptic bronchoscope (FB) training simulator, and to evaluate its training efficacy. Methods: A box apparatus was designed for basic and advanced FB training; the box consisted of five boards with holes in it. The holes were aligned according to the entries of bronchus to pass the FB. Assistant materials could be placed in the box to simulate foreign bodies due to diseases, which was aimed to help the training of sophisticated skills including tracheal tube intubation, biopsy, brushing and bronchoalveolar lavage. To testify the training efficacy, forty volunteer residents who had never manipulated a FB were randomly assigned into two groups: one group was trained using the prepared training box (Group TB, n = 20) and the other group was trained using video-based technique (Group C, n = 20). The trainees of the two groups received an intubation examination using an advanced patient simulator, and the periods of intubation was compared between the two groups. Results: Flexible fiberoptic bronchoscope could smoothly pass through the holes in the box; the photos of the holes under bronchoscopy well simulated the normal images. All residents completed the training and examination. The mean duration of intubation was (55. 7 ± 10. 2) s in Group TB and (69. 3 ± 8. 9) s in Group C (P<0. 001). Conclusion: The present training box is simple and practical, and it can be used for advanced training of FB, with obvious training efficacy.