CHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
CHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
Braz J Anesthesiol. 2023 May-Jun;73(3):250-257. doi: 10.1016/j.bjane.2021.05.006. Epub 2021 Jun 2.
High-fidelity (HF) pediatric patient simulators are expensive. This randomized study aimed to compare the quality and educational impact of a full-scale simulation workshop with an HF infant simulator (SimBaby™, Laerdal) or with a low-cost (LC) simulator composed of an inert infant manikin with SimBaby™ software that displays respiratory/hemodynamic parameters on a monitor for medical education in pediatric difficult airway management.
After written informed consent, anesthetists and emergency or ICU physicians participated in teams (4 to 6 participants) in a training session that included direct participation and observation of two difficult intubation scenarios. They were randomized into two groups (HF group, n = 65 and LC group, n = 63). They filled out a simulation quality score (SQS, 0 to 50), self-evaluated their anesthetists' non-technical skills (ANTS) score (15 to 60), and an educational quality score (EQS, 0 to 60) immediately (T0, main criteria), as well as 3 (T3) and 6 (T6) months after the training session.
We enrolled 128 physicians. Direct participation SQS (39 ± 5 HF group versus 38 ± 5 LC group), observation SQS (41 ± 4 H F group versus 39 ± 5 LC group), ANTS scores (38 ± 4 HF group versus 39 ± 6 LC group), T0 SQS (44 ± 5 HF group versus 43 ± 6 LC group), T3 and T6 SQS were not different between groups.
Our low-cost simulator should be suggested as a less expensive alternative to an HF simulator for continuing medical education in pediatric difficult airway management.
高保真（HF）儿科患者模拟器价格昂贵。本随机研究旨在比较全尺寸模拟研讨会与 HF 婴儿模拟器（SimBaby™，Laerdal）或低成本（LC）模拟器在儿科困难气道管理医学教育中的质量和教育效果，后者由惰性婴儿人体模型和显示呼吸/血流动力学参数的 SimBaby™软件组成。
在书面知情同意后，麻醉师和急诊或 ICU 医生以团队形式（4 至 6 名参与者）参加培训课程，包括直接参与和观察两个困难插管场景。他们被随机分为两组（HF 组，n = 65；LC 组，n = 63）。他们填写了模拟质量评分（SQS，0 至 50）、自我评估麻醉师非技术技能（ANTS）评分（15 至 60）和教育质量评分（EQS，0 至 60），并立即（T0，主要标准）以及培训课程结束后 3（T3）和 6（T6）个月后。
我们共纳入 128 名医生。直接参与 SQS（HF 组 39 ± 5 分与 LC 组 38 ± 5 分）、观察 SQS（HF 组 41 ± 4 分与 LC 组 39 ± 5 分）、ANTS 评分（HF 组 38 ± 4 分与 LC 组 39 ± 6 分）、T0 SQS（HF 组 44 ± 5 分与 LC 组 43 ± 6 分），T3 和 T6 SQS 在组间无差异。
对于儿科困难气道管理的继续医学教育，我们的低成本模拟器应作为 HF 模拟器的廉价替代方案。
