Simulation Training on Mechanical Ventilation Using a High-Fidelity Ventilator Mannequin for Residents and Respiratory Therapists

Leigh, Yasmin; Elia, C. De; Krishna, Murali; Taylor, La Tanya; Morales, Rachel; Kellogg, Beth; Salvatore, Frank

doi:10.23937/2378-3516/1410108

Cited by 2 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, our curriculum showed significant improvement in learner confidence. The results of this curriculum are consistent with previous studies showing improvement in competency after simulation-based critical care medical education in medical students and residents ( 19 – 21 ).…”

Section: Discussionsupporting

confidence: 90%

Mechanical Ventilation Training Curriculum for Pulmonary Critical Care Fellows during the COVID-19 Pandemic

et al. 2023

View full text Add to dashboard Cite

Background Mechanical ventilation (MV) management is an essential skill for pulmonary and critical care medicine (PCCM) fellows to master during training. The unprecedented emergence of the coronavirus disease (COVID-19) pandemic highlighted the need for advanced operator competency in MV to improve patients’ outcomes. Objective We aimed to create a standardized case-based curriculum using a blended approach of high-fidelity simulation, rapid-cycle deliberate practice, video didactics, and hands-on small group sessions for rapid accumulation of knowledge and hands-on skills for PCCM fellows before caring for critically ill patients during the COVID-19 pandemic. Methods The MV curriculum consisted of the following steps: 1 ) baseline written knowledge test with 15 multiple-choice questions covering MV, the latest evidence-based practices, and pathophysiology of COVID-19; 2 ) baseline confidence survey using a 5-point Likert scale; 3 ) a one-on-one session using a high-fidelity simulation manikin, a lung simulator, and a mechanical ventilator to test baseline competencies; 4 ) a structured debriefing tailored per fellow’s 50-point competency assessment checklist from the simulation using rapid-cycle deliberate practice; 5 ) video didactics; 6 ) a hands-on session in small groups for basic knobology, waveforms, and modes of MV; 7 ) a one-on-one simulation reassessment session; 8 ) a written knowledge posttest; and 9 ) a post-training confidence survey using a 5-point Likert scale. Results Eight PCCM fellows completed the training. The mean multiple-choice question score increased from 7.4 ± 2.9 to 10.4 ± 2.4 ( P < 0.05), and the simulation scores increased from 17.1 ± 4.4 to 30.8 ± 3.7 ( P < 0.05). Comparing the simulation reassessment to the baseline, fellows showed significant improvement ( P < 0.05) in assessing indications for MV; implementing rapid sequence intubation for patients with COVID-19; initiating MV and ventilator bundle per best practices; recognizing and managing mucous plugging, ventilator dyssynchrony, and evidence-based treatments for acute respiratory distress syndrome; and developing a care plan for proning. The post-training survey revealed improved learner confidence in all competencies. Conclusion This pilot MV curriculum using a blended approach was feasible and allowed PCCM fellows to significantly improve their knowledge and hands-on skills, allowing for the appropriate use of MV during the pandemic. Self-reported improvement scores further reinforced this. The emergent need for novice learners may again be necessary for future pandemic set...

show abstract

Section: Discussionsupporting

confidence: 90%

Mechanical Ventilation Training Curriculum for Pulmonary Critical Care Fellows during the COVID-19 Pandemic

et al. 2023

View full text Add to dashboard Cite

show abstract

“…et al study assessing the baseline MV competencies by simulation among residents and RTs shows that initial performance improved drastically with simulation. 55 Skills such as measuring pulmonary mechanics, initiation, and adjustment of invasive MV settings based on case scenarios improved with simulation, while a higher percentage of errors occurred in managing patient-ventilator asynchronies, troubleshooting, and disease-specific management. 60 …”

Section: Methodsmentioning

confidence: 99%

“… 53 Studies have shown that simulation can provide lasting knowledge and prepare residents and RTs to safely manage ventilated patients. 54 , 55 MV simulation is performed by connecting a load (ie connecting a device that simulates the patient’s respiratory system and its characteristics to the ventilator, allowing the simulation of different respiratory scenarios) to ventilators which can be programmed to mimic patient characteristics relative to disease states. The Michigan Instrument training and test lung (TTL) simulator and the Ingmar medical ASL 5000 are examples of two popular simulators that are available currently.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Simulation-Based Teaching and Learning in Respiratory Care Education: A Narrative Review

Sreedharan,

Gopalakrishnan,

Jose

et al. 2024

AMEP

View full text Add to dashboard Cite

Simulation-based pedagogy has become an essential aspect of healthcare education. However, there is a significant gap in the literature regarding the application of simulation-based modalities in respiratory care education. This review aims to address this gap by providing insight into the theory and current uses of simulation, its effectiveness in respiratory care education, and strategies to enhance faculty development. The study utilizes a narrative synthesis approach to review relevant literature and provide a comprehensive understanding of the topic. The research involved comprehensive searches of electronic databases, including PubMed and Google Scholar, to identify relevant literature, encompassing original articles, reviews, and other pertinent content, focusing on simulation-based teaching and learning in respiratory care education published between 1990 and 2022. Findings suggest that simulation-based education is an effective tool for improving respiratory care education and can enhance the clinical skills of learners. The study concludes by discussing the future of simulation in respiratory care education and the potential benefits it may offer.

show abstract

Simulation Training on Mechanical Ventilation Using a High-Fidelity Ventilator Mannequin for Residents and Respiratory Therapists

Cited by 2 publications

References 7 publications

Mechanical Ventilation Training Curriculum for Pulmonary Critical Care Fellows during the COVID-19 Pandemic

Mechanical Ventilation Training Curriculum for Pulmonary Critical Care Fellows during the COVID-19 Pandemic

Simulation-Based Teaching and Learning in Respiratory Care Education: A Narrative Review

Contact Info

Product

Resources

About