TY - JOUR
T1 - Simulation training for residents focused on mechanical ventilation
T2 - A randomized trial using mannequin-based versus computer-based simulation
AU - Spadaro, Savino
AU - Karbing, Dan Stieper
AU - Fogagnolo, Alberto
AU - Ragazzi, Riccardo
AU - Mojoli, Francesco
AU - Astolfi, Luca
AU - Gioia, Antonio
AU - Marangoni, Elisabetta
AU - Rees, Stephen Edward
AU - Carlo, Volta Alberto
PY - 2017
Y1 - 2017
N2 - INTRODUCTION: Advances in knowledge regarding mechanical ventilation (MV), in particular lung-protective ventilation strategies, have been shown to reduce mortality. However, the translation of these advances in knowledge into better therapeutic performance in real-life clinical settings continues to lag. High-fidelity simulation with a mannequin allows students to interact in lifelike situations; this may be a valuable addition to traditional didactic teaching. The purpose of this study is to compare computer-based and mannequin-based approaches for training residents on MV.METHODS: This prospective randomized single-blind trial involved 50 residents. All participants attended the same didactic lecture on respiratory pathophysiology and were subsequently randomized into two groups: the mannequin group (n = 25) and the computer screenbased simulator group (n = 25). One week later, each underwent a training assessment using five different scenarios of acute respiratory failure of different etiologies. Later, both groups underwent further testing of patient management, using in situ high-fidelity simulation of a patient with acute respiratory distress syndrome.RESULTS: Baseline knowledge was not significantly different between the two groups (P = 0.72). Regarding the training assessment, no significant differences were detected between the groups. In the final assessment, the scores of only the mannequin group significantly improved between the training and final session in terms of either global rating score [3.0 (2.54.0) vs. 2.0 (2.03.0), P = 0.005] or percentage of key score (82% vs. 71%, P = 0.001).CONCLUSIONS: Mannequin-based simulation has the potential to improve skills in managing MV.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
AB - INTRODUCTION: Advances in knowledge regarding mechanical ventilation (MV), in particular lung-protective ventilation strategies, have been shown to reduce mortality. However, the translation of these advances in knowledge into better therapeutic performance in real-life clinical settings continues to lag. High-fidelity simulation with a mannequin allows students to interact in lifelike situations; this may be a valuable addition to traditional didactic teaching. The purpose of this study is to compare computer-based and mannequin-based approaches for training residents on MV.METHODS: This prospective randomized single-blind trial involved 50 residents. All participants attended the same didactic lecture on respiratory pathophysiology and were subsequently randomized into two groups: the mannequin group (n = 25) and the computer screenbased simulator group (n = 25). One week later, each underwent a training assessment using five different scenarios of acute respiratory failure of different etiologies. Later, both groups underwent further testing of patient management, using in situ high-fidelity simulation of a patient with acute respiratory distress syndrome.RESULTS: Baseline knowledge was not significantly different between the two groups (P = 0.72). Regarding the training assessment, no significant differences were detected between the groups. In the final assessment, the scores of only the mannequin group significantly improved between the training and final session in terms of either global rating score [3.0 (2.54.0) vs. 2.0 (2.03.0), P = 0.005] or percentage of key score (82% vs. 71%, P = 0.001).CONCLUSIONS: Mannequin-based simulation has the potential to improve skills in managing MV.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
KW - Journal Article
U2 - 10.1097/SIH.0000000000000249
DO - 10.1097/SIH.0000000000000249
M3 - Journal article
C2 - 28825930
SN - 1559-2332
VL - 12
SP - 349
EP - 355
JO - Simulation in Healthcare
JF - Simulation in Healthcare
IS - 6
ER -