Tanya Stuti, Dubrowski Adam
Medical Education and Simulation, Memorial University of Newfoundland, St. John's, CAN.
Health Sciences, Ontario Tech University, Oshawa, CAN.
Cureus. 2020 Jan 8;12(1):e6604. doi: 10.7759/cureus.6604.
Pediatric intubation and airway management (PIAM) is a life-saving, emergent procedure that is performed by a variety of healthcare practitioners. Securing the pediatric airway in a time-sensitive fashion is a specialized skill that declines with lack of practice, leading to a precarious gap in clinical competency and healthcare delivery. However, current training models for PIAM, such as live animals, human cadavers, and simulators, are not adequately accessible or reliable due to their combination of high cost, unrealistic simulation, lack of standardization, and ethical concerns. Task trainers pose an ethically and fiscally sustainable training model for experiential learning through repetitive practice, which has been shown to dramatically improve trainee proficiency and confidence in performing high-acuity low-occurrence procedures such as pediatric intubation. This work aims to report the development process and initial validation evidence of a prototype cost-effective pediatric intubation task trainer that can be used for post-graduate education, especially in resource-challenged settings.
儿科插管与气道管理（PIAM）是一种由多种医疗从业者实施的挽救生命的紧急程序。以对时间敏感的方式确保儿科气道安全是一项专门技能，会因缺乏练习而下降，从而导致临床能力和医疗服务方面存在不稳定的差距。然而，当前用于PIAM的培训模式，如实动物、人体尸体和模拟器，由于成本高、模拟不真实、缺乏标准化以及伦理问题等因素，无法充分获得或不可靠。任务训练器为通过重复练习进行体验式学习提供了一种在伦理和财政上可持续的培训模式，已证明其能显著提高学员执行高敏锐度低发生率程序（如儿科插管）的熟练度和信心。这项工作旨在报告一种具有成本效益的儿科插管任务训练器原型的开发过程和初步验证证据，该训练器可用于研究生教育，特别是在资源匮乏的环境中。
