Lucisano Karen E, Talbot Laura A
College of Health and Human Services, University of North Carolina at Charlotte, USA.
AANA J. 2012 Feb;80(1):25-31.
We studied the current literature on human patient simulation for preparing anesthesia and other healthcare providers for advanced airway management. A systematic review was conducted of articles published between 1990 and 2009 on advanced airway management for patients undergoing anesthesia and patients who are not. The search used 4 electronic databases: Cumulative Index to Nursing & Allied Health Literature, MEDLINE, PsycINFO, and Web of Science. We included 34 articles in the analysis; 15 were experimental or quasi-experimental designs, 8 descriptive studies and reports, and 11 analyses of equipment or technique evaluations using simulation. The majority of the studies included simulation education evaluation for a variety of medical, nursing, and allied health providers and students. Only 6 studies addressed the use of simulation as an educational or evaluation tool to enhance training of anesthesia providers in difficult airway management. Those studies included analyses of different types of training and the perceived value of simulated training, and evaluations of equipment. Few studies have analyzed the effects of this modality on trainer skills and patient safety. There is a clear need for well-designed studies to examine these effects.
我们研究了当前有关人体患者模拟的文献，旨在让麻醉及其他医疗保健人员为高级气道管理做好准备。我们对1990年至2009年间发表的关于接受麻醉患者及非麻醉患者的高级气道管理的文章进行了系统综述。检索使用了4个电子数据库：护理及相关健康文献累积索引、医学索引数据库、心理学文摘数据库和科学引文索引数据库。我们纳入了34篇文章进行分析；其中15篇为实验性或准实验性设计，8篇为描述性研究与报告，11篇为使用模拟进行的设备或技术评估分析。大多数研究纳入了针对各类医学、护理及相关健康专业人员和学生的模拟教育评估。仅有6项研究探讨了将模拟作为一种教育或评估工具，以加强麻醉人员在困难气道管理方面的培训。这些研究包括对不同类型培训及模拟培训感知价值的分析，以及对设备的评估。很少有研究分析这种方式对培训师技能和患者安全的影响。显然需要设计完善的研究来检验这些影响。
