Vanderbilt Allison A, Mayglothling Julie, Pastis Nicholas J, Franzen Douglas
School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Division of Pulmonary and Critical Care, Medical University of South Carolina, SC, USA.
Adv Med Educ Pract. 2014 Jan 28;5:15-23. doi: 10.2147/AMEP.S51963. eCollection 2014.
A review of the literature was conducted to analyze the impact of simulation-based training for direct and video laryngoscopy (VL) skills for health care professionals and health care students.
This review focused on the published literature that used randomized controlled trials to examine the effectiveness of simulation-based training to develop airway management skills and identify pertinent literature by searching PubMed from inception of the database up to July 2013. This current review addresses the question of whether airway management simulation-based training improves the acquisition of resuscitation skills for health care profession learners.
A total of eleven articles qualified for this systematic review based on the inclusion and exclusion criteria. These studies were analyzed and the specific simulators, participants, assessments, and details related to: time of intubation; Cormack and Lehane classification; success and failure rate; and number of attempts.
This review suggests that simulation-based training is one effective way to teach VL skills. VL allows for a higher success rate, faster response time, and a decrease in the number of attempts by health care students and health care professionals under the conditions based on the eleven studies reviewed.
开展文献综述,以分析基于模拟的培训对医护专业人员和医学生直接喉镜检查及视频喉镜检查(VL)技能的影响。
本综述聚焦于已发表的文献,这些文献采用随机对照试验来检验基于模拟的培训在培养气道管理技能方面的有效性,并通过检索自数据库建立至2013年7月的PubMed来识别相关文献。本次综述探讨基于气道管理模拟的培训是否能提高医护专业学习者复苏技能的获得。
根据纳入和排除标准,共有11篇文章符合本系统综述的要求。对这些研究进行了分析,并涉及了特定的模拟器、参与者、评估以及与以下方面相关的细节:插管时间;科马克和莱汉内分级;成功率和失败率;以及尝试次数。
本综述表明,基于模拟的培训是教授VL技能的一种有效方法。根据所综述的11项研究的情况,在特定条件下,VL可使医护学生和医护专业人员获得更高的成功率、更快的反应时间,并减少尝试次数。