Department of Anesthesiology and Intensive Care, Health Sciences University Medical School, Istanbul, Turkey,
Department of Anesthesiology and Intensive Care, Health Sciences University Medical School, Kocaeli, Turkey.
Med Princ Pract. 2020;29(6):532-537. doi: 10.1159/000506597. Epub 2020 Feb 19.
The objective of this study was to ascertain whether the addition of part-task training as a step in Pecha Kucha for fiberoptic tracheal intubation increases the success rate and reduces the complication rate.
The residents of the Department of Anesthesiology were initially included in an orientation program. We used the Pecha Kucha method for the presentation of teaching fiberoptic intubation skills. Afterwards the participants were trained in Laerdal® airway management and each participant performed tracheal intubation using the Aintree catheter. The participants were divided into two groups. Group 1 (n = 9) received part-task training and group 2 (n = 9) received whole-task training. The tracheal intubation performances of participants were evaluated on fresh frozen cadavers. The number of interventions, incidence of complications, success rate, and optimization maneuver requirements were recorded.
Eighteen residents aged between 27 and 33 years were included. All were junior residents with less than 2 years of experience. There was no significant difference in terms of duration of tracheal intubation, complication rates, and optimization maneuvers between the study groups. Six participants could not place the tracheal tube in the last section. The success rates for the part-task group during Aintree and tracheal tube placement were 100 and 66.7%, respectively, whereas the rates were 55.6 and 44.4%, respectively, in whole-task group (p < 0.05).
In addition to the Pecha Kucha method in fiberoptic intubation training, simulation-based part-task training appears to increase the success rate and to reduce the complication rate on fresh frozen cadavers.
本研究旨在确定在纤维支气管镜插管的 Pecha Kucha 中增加部分任务训练是否会提高成功率并降低并发症发生率。
麻醉科住院医师最初参加了一个定向计划。我们使用 Pecha Kucha 方法进行纤维支气管镜插管技能教学。然后,参与者接受 Laerdal®气道管理培训,每位参与者都使用 Aintree 导管进行气管插管。参与者分为两组。第 1 组(n = 9)接受部分任务训练,第 2 组(n = 9)接受全部任务训练。在新鲜冷冻尸体上评估参与者的气管插管表现。记录干预次数、并发症发生率、成功率和优化操作要求。
共纳入 18 名年龄在 27 至 33 岁之间的住院医师。所有参与者均为初级住院医师,经验不足 2 年。两组在气管插管时间、并发症发生率和优化操作方面无显著差异。6 名参与者无法将气管导管放置在最后一节。部分任务组在 Aintree 和气管导管放置时的成功率分别为 100%和 66.7%,而全部任务组的成功率分别为 55.6%和 44.4%(p < 0.05)。
除了纤维支气管镜插管培训中的 Pecha Kucha 方法外,基于模拟的部分任务训练似乎可以提高成功率并降低新鲜冷冻尸体上的并发症发生率。