Evaluating learning curves for intubation in a simulator setting

Vennila, R.; Sethuraman, Dhandapani; Charters, P.

doi:10.1097/eja.0b013e328356ba54

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…Thirty-two students were not included in the data analysis because they did not participate fully in the course and missed training sessions due to sickness (30) or dropout. [ 2 ]…”

Section: Resultsmentioning

confidence: 99%

“…Many techniques can be taught on simulators, including airway management and endotracheal intubation, [ 1 , 2 ] cardiopulmonary resuscitation, [ 3 ] or vascular access. However, even high-fidelity simulators, although useful to teach procedural skills [ 4 ] such as endotracheal intubation and more complex scenarios, [ 5 , 6 ] do not provide physician–patient interaction and probably do not improve communication skills.…”

Section: Introductionmentioning

confidence: 99%

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Impact of standardized patients on the training of medical students to manage emergencies

et al. 2017

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Background:Teaching emergency management should educate medical students not only for facts and treatment algorithms but also for time effective physical examination, technical skills, and team interaction. We tested the hypothesis, that using standardized emergency patients would be more effective in transmitting knowledge and skills compared with a more traditional teaching approach.Methods:Medical students (n = 242) in their fourth (second clinical) year were randomized to receive either training on standardized patients simulating 3 emergency settings (“acute chest pain,” “stroke,” and “acute dyspnea/asthma”) or traditional small group seminars. Before and after the respective training pathways, the students’ knowledge base (multiple-choice examination) and practical performance (objective structured clinical examination using 3 different emergency scenarios) were assessed.Results:Teaching using standardized patients resulted in a significant albeit small improvement in objective structured clinical examination scores (61.2 ± 3 for the standardized patient trained group vs 60.3 ± 3.5 for the traditional seminar group; P = 0.017, maximum achievable score: 66), but no difference in the written examination scores (27.4 ± 2.4 vs 27.0 ± 4.4; P = 0.341; maximum achievable score: 30).Conclusion:Teaching management of emergencies using standardized patients can improve medical students’ performance in clinical tests, and a change from traditional seminars in favor of practice sessions with standardized patients does not compromise the learning of medical facts.

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“…Thirty-two students were not included in the data analysis because they did not participate fully in the course and missed training sessions due to sickness (30) or dropout. [ 2 ]…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of standardized patients on the training of medical students to manage emergencies

et al. 2017

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“…The confidence levels are also boosted since the students are not under pressure from the instructor because of the safety of patients when these procedures are done in live patients, though the features of the manikin are close to that of the live patient. These have been proven from previous studies that demonstrate the advantage of improved learning when manikin simulators are used in teaching the art of endotracheal intubation [12] [13] [14].…”

Section: Discussionmentioning

confidence: 96%

Simulation and Acquisition of Endotracheal Intubation Skills by Medical Students—A Pilot Study

Jasper¹

2022

OJAnes

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Introduction: Endotracheal intubation is a vital life-saving skill required by physicians in life-threatening situations in and out of the hospital. Medical students are exposed to these procedures mainly as they rotate through the department of Anaesthesia, in their subspecialty posting in Surgery. In this study, we sought to assess the ease of learning endotracheal intubation by medical students in the skills laboratory using an adult-sized (Laerdal Medical) manikin. Methods: This was a prospective descriptive study assessing the ability of medical students at endotracheal intubation during their 12-week rotation in the Anaesthesia Department during their subspecialty posting from August to October 2019 in the Skills Laboratory. An adult-sized manikin (Laerdal Medical) intubating head was used for the study. This was preceded by a detailed lecture and demonstration in the skills laboratory after successful passage of the endotracheal tube and connected to a self-inflating ventilation (Ambou) bag. Adequate chest movement meant proper placement, while the fullness of the stomach meant oesophageal intubation. Results: All the 500 level (45) students in the class were recruited for this prospective study. 30 (66%) had successful endotracheal intubation at the first attempt, 7 (14.4%) at the second attempt, 5 (11.1%) at the third attempt, 2 (4.4%) students at the fourth attempt and 1 (2.2%) had successful endotracheal intubation at the fifth attempt. Attempts were made to reinforce information on the practical procedure by a repeat performance by the instructor after each set of successful attempts was separated from the pack of unsuccessful candidates. In the end, however, we had 100% successful endotracheal intubation, but after 5 attempts by the last medical student. Conclusion: Endotracheal intubation skills can be learned with some level of ease when done after detailed information and training of medical students. More so when not under undue stress and life-threatening situations in the skills laboratory.

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“…Training with high‐fidelity patient simulation has been shown to improve one’s ability to establish an advanced airway 7,18 . Thus, it is not necessarily surprising that this group of trainees demonstrated a significantly higher rate of successful placement with traditional direct laryngoscopy given that over half of them had experience with this method of intubation.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Trainees Managing a Difficult Airway: Comparison of Laryngeal Mask Airway, Direct, and Video‐Assisted Laryngoscopy

et al. 2017

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ObjectiveDifficult airway management is a key skill required by all pediatric physicians, yet training on multiple modalities is lacking. The objective of this study was to compare the rate of, and time to, successful advanced infant airway placement with direct laryngoscopy, video-assisted laryngoscopy, and laryngeal mask airway (LMA) in a difficult airway simulator. This study is the first to compare the success with 3 methods for difficult airway management among pediatric trainees.Study DesignRandomized crossover pilot study.SettingTertiary academic medical center.MethodsTwenty-two pediatric residents, interns, and medical students were tested. Participants were provided 1 training session by faculty using a normal infant manikin. Subjects then performed all 3 of the aforementioned advanced airway modalities in a randomized order on a difficult airway model of a Robin sequence. Success was defined as confirmed endotracheal intubation or correct LMA placement by the testing instructor in ≤120 seconds.ResultsDirect laryngoscopy demonstrated a significantly higher placement success rate (77.3%) than video-assisted laryngoscopy (36.4%, P = .0117) and LMA (31.8%, P = .0039). Video-assisted laryngoscopy required a significantly longer amount of time during successful intubations (84.8 seconds; 95% CI, 59.4-110.1) versus direct laryngoscopy (44.9 seconds; 95% CI, 33.8-55.9) and LMA placement (36.6 seconds; 95% CI, 24.7-48.4).ConclusionsPediatric trainees demonstrated significantly higher success using direct laryngoscopy in a difficult airway simulator model. However, given the potential lifesaving implications of advanced airway adjuncts, including video-assisted laryngoscopy and LMA placement, more extensive training on adjunctive airway management techniques may be useful for trainees.

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Evaluating learning curves for intubation in a simulator setting

Cited by 6 publications

References 6 publications

Impact of standardized patients on the training of medical students to manage emergencies

Impact of standardized patients on the training of medical students to manage emergencies

Simulation and Acquisition of Endotracheal Intubation Skills by Medical Students—A Pilot Study

Pediatric Trainees Managing a Difficult Airway: Comparison of Laryngeal Mask Airway, Direct, and Video‐Assisted Laryngoscopy

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