Simulation-based training in anaesthesiology: a systematic review and meta-analysis

Lorello, Gianni R.; Cook, David A.; Johnson, Rebecca L.; Brydges, Ryan

doi:10.1093/bja/aet414

Cited by 203 publications

(136 citation statements)

References 99 publications

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“…[57] Simulation has deservedly gained a leading role in teaching and among the methods of training in the field of medical disciplines, further outlining the importance of the human factor in the occurrence of potentially critical situations. [40,58] In conclusion, simulation is a unique and innovative medium of instruction for medical training, full of potential, and essential to the formation, growth and maturation of the student. It is truly important to provide all undergraduate and postgraduate medical schools with a simulation center or laboratory with suitable technology and preparation of instructors, in the certainty that this will contribute to patient safety and, ultimately, save many lives.…”

Section: Discussionmentioning

confidence: 99%

“…[7] The basic features for a successful training program that uses human-size simulators are essentially represented by a suitable logistics infrastructure, appropriate materials, participation of instructors with specific training courses, and an instructorstudent ratio as close as possible to the ideal value of 1:3, equivalent to that suggested for correct teaching at the bedside. [40] Typical scenarios of simulation in anesthesia can be represented by common management and daily problems that the specialist anesthetist faces (e.g. induction of anesthesia, difficult intubation, postoperative hypotension, management of trauma, cardiopulmonary resuscitation, etc.…”

Section: Simulation In Postgraduate Medical Trainingmentioning

confidence: 99%

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Role of advanced simulation in undergraduate and postgraduate medical education

Fodale¹,

Penna²,

Amato³

et al. 2015

Int Arch Med

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Medical simulations are effective education complements for medical training, demonstrating effective learning, level of participation, and improvement in knowledge, skills and attitudes.In undergraduate medical education, simulation provides the potential for valid, cost-benefit teaching and assessment of clinical skills, especially clinical reasoning skills, bridging the gap between theory and practice. Simulation as a training tool in postgraduate medical training is a practical method to provide a kind of educational realistic significance for practicing specialty in order to improve quality of care and patient safety. In particular, simulation is an excellent opportunity to implement reports of security which can be considered a true strategy in order to minimize clinical risk and ensure appropriate levels of quality in daily clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Simulation In Postgraduate Medical Trainingmentioning

confidence: 99%

Role of advanced simulation in undergraduate and postgraduate medical education

Fodale¹,

Penna²,

Amato³

et al. 2015

Int Arch Med

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“…The simulators in airway management helps in improving psychomotor level (skill training), cognitive level (decision making) or affective level (interacting with peers/coworkers) [1]. The simulators are an important tool for evaluation of efficacy of training and skill retention [1,2,9]. In view of ethical concerns and patient safety, simulator training would become essential prior to interacting with real patients as compared to training on real patients.…”

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confidence: 99%

Simulation for Airway Management in a Critical Care Set Up

Garg¹

2016

JACCOA

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Submit Manuscript | http://medcraveonline.com vancement in technology, simulator based learning has emerged as an important tool for airway management [5,6].The simulators have been used conventionally by pilot training wherein real time scenario and crisis situation is created for management. Similar concept has been recently extended in medical sciences for teaching and training and has found an important role in airway management as well. Simulators are inevitable for learning the technical skills and aids in learning and assessing psychomotor tasks, cognitive and affective skills [1,3,4,7,8]. Simulation practice ensures team dynamics along with application of algorithmic approach for holistic management. Traditionally airway management training was delivered by practicing skills like laryngoscopy, fiberscopy tracheal intubation individually. In real scenario, these individuals skills needs to be choreographed into an systematic approach. We need to have primary approach for airway management, secondary approach, if it fails and also subsequent rescue approaches. These real time airway management may not be possible in airway trainers by learning individual skills. The algorithms have been proposed by various professional bodes for management of airway [1]. The stimulators would help to acquire the skills and judgment of the equipments and techniques required of the algorithm [1]. The simulators in airway management helps in improving psychomotor level (skill training), cognitive level (decision making) or affective level (interacting with peers/coworkers) [1]. The simulators are an important tool for evaluation of efficacy of training and skill retention [1,2,9]. In view of ethical concerns and patient safety, simulator training would become essential prior to interacting with real patients as compared to training on real patients. The simulator available are both partial-task or whole-task trainers and may replicate real time conditions without compromising the patient safety [1]. Though the animal models were initially used for these concerns, but many aspects of real time situations were not feasible in such models [1]. The high-fidelity patient simulation reproduce real-life patient and a similar environment may be created as to be encountered by the learners. Such environment may be considered as sensitizer for the learners for real time stressful situations to handle difficult airway situations in critically ill patient. Unlike real patients, a high-fidelity airway simulator provides various opportunities for different type of airway difficulties and complications. This provides learners an opportunity to perform multiple times under different conditions.The steps related to airway simulation training in a critical care set up are:i. Objective of the simulation: This should be decided prior to start of simulation based on the need of the participants. It should be objectively mentioned and goals ascertained. The level of learning may also be objectively decided.ii. Simulation scenario-creation and desi...

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“…Lorello et al reviewed the literature on simulation training for skills, knowledge and behaviours and patient effects of simulation training (Lorello, Cook, Johnson, & Brydges, 2014). Despite a limited number of papers included, they found a strong effect of simulation-based team (CRM) training over other methods (one study) or no intervention (five studies) to improve team behaviours.…”

Section: B13 How Is Teamwork Improved At Present?mentioning

confidence: 99%

“…No improvement in mutual performance monitoring was seen in this study, Team training interventions in health traditionally use a small subset of methods that have been used in other industries. Simulation-based team training interventions have been shown to improve team performance in anaesthesia (Lorello et al, 2014) and team behaviours have been linked to improved performance (Schmutz & Manser, 2013).…”

Section: B54 the Importance Of These Findingsmentioning

confidence: 99%

The effects Of cognitive aids On formation and functioning Of teams in medical emergencies

Marshall¹

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Simulation-based training in anaesthesiology: a systematic review and meta-analysis

Cited by 203 publications

References 99 publications

Role of advanced simulation in undergraduate and postgraduate medical education

Role of advanced simulation in undergraduate and postgraduate medical education

Simulation for Airway Management in a Critical Care Set Up

The effects Of cognitive aids On formation and functioning Of teams in medical emergencies

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