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Low-cost versus high-fidelity pediatric simulators for difficult airway management training: a randomized study in continuing medical education.
Lejus-Bourdeau, Corinne; Pousset, Florence; Magne, Cécile; Bazin, Olivier; Grillot, Nicolas; Pichenot, Vincent.
Afiliação
  • Lejus-Bourdeau C; CHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France. Electronic address: corinne.lejus@chu-nantes.fr.
  • Pousset F; CHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
  • Magne C; CHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
  • Bazin O; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
  • Grillot N; CHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
  • Pichenot V; CHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
Braz J Anesthesiol ; 73(3): 250-257, 2023.
Article em En | MEDLINE | ID: mdl-34089749
BACKGROUND: High-fidelity (HF) pediatric patient simulators are expensive. This randomized study aimed to compare the quality and educational impact of a full-scale simulation workshop with an HF infant simulator (SimBaby™, Laerdal) or with a low-cost (LC) simulator composed of an inert infant manikin with SimBaby™ software that displays respiratory/hemodynamic parameters on a monitor for medical education in pediatric difficult airway management. METHODS: After written informed consent, anesthetists and emergency or ICU physicians participated in teams (4 to 6 participants) in a training session that included direct participation and observation of two difficult intubation scenarios. They were randomized into two groups (HF group, n = 65 and LC group, n = 63). They filled out a simulation quality score (SQS, 0 to 50), self-evaluated their anesthetists' non-technical skills (ANTS) score (15 to 60), and an educational quality score (EQS, 0 to 60) immediately (T0, main criteria), as well as 3 (T3) and 6 (T6) months after the training session. RESULTS: We enrolled 128 physicians. Direct participation SQS (39 ± 5 HF group versus 38 ± 5 LC group), observation SQS (41 ± 4 H F group versus 39 ± 5 LC group), ANTS scores (38 ± 4 HF group versus 39 ± 6 LC group), T0 SQS (44 ± 5 HF group versus 43 ± 6 LC group), T3 and T6 SQS were not different between groups. CONCLUSION: Our low-cost simulator should be suggested as a less expensive alternative to an HF simulator for continuing medical education in pediatric difficult airway management.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Educação Médica Continuada / Treinamento por Simulação Tipo de estudo: Clinical_trials / Health_economic_evaluation Limite: Child / Humans / Infant Idioma: En Revista: Braz J Anesthesiol Ano de publicação: 2023 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Educação Médica Continuada / Treinamento por Simulação Tipo de estudo: Clinical_trials / Health_economic_evaluation Limite: Child / Humans / Infant Idioma: En Revista: Braz J Anesthesiol Ano de publicação: 2023 Tipo de documento: Article País de publicação: Brasil