Division of Quality and Safety, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA.
Curr Opin Anaesthesiol. 2012 Jun;25(3):271-6. doi: 10.1097/ACO.0b013e3283531fdf.
The use of simulation in medicine has grown significantly over the past 2 decades. Simulation in obstetric anesthesia can be divided into four broad uses: technical skills, nontechnical or teamwork skills, individual clinical competence, and the safety of the clinical environment. This review will describe recent trends in the use of simulation in several of these categories.
Simulation continues to be an important part of skills (technical and cognitive) and teamwork training in obstetric anesthesia. The acquisition of simple and complex technical skills appears to be improved with the use of simulation. However, the assessment of these skills is currently done in the simulated environment. Simulation is also important in assessing and enhancing the safety of a labor unit. Two simulation trends have recently evolved. Instructional articles describing how to best perform simulation have begun to appear. In addition, several review articles have been published that demonstrate the maturation of the body of research in this field.
As the use of simulation continues to grow, research should concentrate on whether anesthesia or teamwork skills learned in the simulated environment change behavior and improve outcomes in the clinical setting. More instructional publications would also facilitate the growth into more clinical environments.
在过去的 20 年中，模拟技术在医学领域的应用得到了显著发展。产科麻醉中的模拟可分为四大类用途：技术技能、非技术或团队技能、个体临床能力和临床环境安全。本文将描述在其中几个类别中模拟技术的最新应用趋势。
模拟仍然是产科麻醉技能（技术和认知）和团队合作培训的重要组成部分。使用模拟技术似乎可以提高简单和复杂技术技能的掌握程度。然而，这些技能的评估目前是在模拟环境中进行的。模拟在评估和提高劳动单位的安全性方面也很重要。最近出现了两种模拟趋势。描述如何最好地进行模拟的教学文章开始出现。此外，还发表了几篇综述文章，表明该领域的研究已经成熟。
随着模拟技术的不断发展，研究应集中在模拟环境中习得的麻醉或团队技能是否会改变行为并改善临床环境中的结果。更多的教学出版物也将促进该技术在更多临床环境中的应用。
