Effects of a simulation-based sedation training course on non-anesthesiologists’ attitudes toward sedation and analgesia

Komasawa, Nobuyasu; Fujiwara, Shunsuke; Atagi, Kazuaki; Ueki, Ryusuke; Haba, Masanori; Ueshima, Hironobu; Kaminoh, Yoshiroh; Minami, Toshiaki

doi:10.1007/s00540-014-1787-9

Cited by 32 publications

(15 citation statements)

References 10 publications

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“…‘Strongly agree’, ‘Agree’, ‘Somewhat agree’, ‘Disagree’, and ‘Strongly disagree’ to the question ‘I feel competent to manage this clinical problem’ [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

Problem-based learning for anesthesia resident operating room crisis management training

2018

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BackgroundSenior anesthesia residents must acquire competency in crisis management for operating room (OR) emergencies. We conducted problem based learning (PBL) OR emergency scenarios for anesthesia residents, focused on emergencies in ‘Airway’, ‘Circulation’, ‘Central venous catheter’, and ‘Pain management complications’. Non-technical skills are an integral component of team-based OR emergency management.MethodsPrior to integrated OR emergency clinical and non-technical skills PBL training, participating 35 anesthesia residents completed two 5-point scale surveys regarding frequency of emergency experiences in the operating room, and self-confidence for anesthesia-related crisis management. Repeat administration of the self-confidence survey was completed immediately following PBL training.ResultsPost-PBL resident clinical management self- confidence improved (P<0.05) in all scenarios on Circulation, Central venous catheter, and Pain treatment related complication topics. Impossible intubation, impossible oxygenation, and awake intubation did not show significant difference following PBL.ConclusionOur findings suggest that PBL for OR emergency management can improve resident self- confidence in anesthesia residents.

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“…‘Strongly agree’, ‘Agree’, ‘Somewhat agree’, ‘Disagree’, and ‘Strongly disagree’ to the question ‘I feel competent to manage this clinical problem’ [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

Problem-based learning for anesthesia resident operating room crisis management training

2018

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“…Participants in the course are expected to demonstrate (1) appropriate preparation for sedation, (2) appropriate management of drug-induced hypoxia and/or shock, and (3) effective communication skills (Komasawa et al). …”

Section: Introductionmentioning

confidence: 99%

Significance of debriefing methods in simulation-based sedation training courses for medical safety improvement in Japan

et al. 2014

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Based on the American Society of Anesthesiologists’ Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists (ASA-SED), a sedation training course aimed at improving medical safety was developed by the Japanese Association for Medical Simulation in 2011. This study evaluated the effect of debriefing on participants’ perceptions of the essential points of the ASA-SED.A total of 38 novice doctors participated in the sedation training course during the research period. Of these doctors, 18 participated in the debriefing group, and 20 participated in non-debriefing group. Scoring of participants’ guideline perceptions was conducted using an evaluation sheet (nine items, 16 points) created based on the ASA-SED.The debriefing group showed a greater perception of the ASA-SED, as reflected in the significantly higher scores on the evaluation sheet (median, 16 points) than the control group (median, 13 points; p < 0.05). No significant differences were identified before or during sedation, but the difference after sedation was significant (p < 0.05).Debriefing after sedation training courses may contribute to better perception of the ASA-SED, and may lead to enhanced attitudes toward medical safety during sedation and analgesia.

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“…Patient simulators can be used to recreate realistic environment and can help trainees practice routine skills for patient monitoring and the recognition and management of critical events, for example, while administrating sedation medications on patient simulators [ 13 , 14 ]. In addition to anesthesiology residents, this simulation setup can be used to give hands-on training to nonanesthesiologists who routinely partake in sedation [ 15 ].…”

Section: Rationale For Using Simulation In Anesthesiologymentioning

confidence: 99%

Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We?

Green

Tariq

Green

2016

Anesthesiology Research and Practice

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There have been colossal technological advances in the use of simulation in anesthesiology in the past 2 decades. Over the years, the use of simulation has gone from low fidelity to high fidelity models that mimic human responses in a startlingly realistic manner, extremely life-like mannequin that breathes, generates E.K.G, and has pulses, heart sounds, and an airway that can be programmed for different degrees of obstruction. Simulation in anesthesiology is no longer a research fascination but an integral part of resident education and one of ACGME requirements for resident graduation. Simulation training has been objectively shown to increase the skill-set of anesthesiologists. Anesthesiology is leading the movement in patient safety. It is rational to assume a relationship between simulation training and patient safety. Nevertheless there has not been a demonstrable improvement in patient outcomes with simulation training. Larger prospective studies that evaluate the improvement in patient outcomes are needed to justify the integration of simulation training in resident education but ample number of studies in the past 5 years do show a definite benefit of using simulation in anesthesiology training. This paper gives a brief overview of the history and evolution of use of simulation in anesthesiology and highlights some of the more recent studies that have advanced simulation-based training.

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Effects of a simulation-based sedation training course on non-anesthesiologists’ attitudes toward sedation and analgesia

Cited by 32 publications

References 10 publications

Problem-based learning for anesthesia resident operating room crisis management training

Problem-based learning for anesthesia resident operating room crisis management training

Significance of debriefing methods in simulation-based sedation training courses for medical safety improvement in Japan

Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We?

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