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Does Regular Practice with a “Flexible Bronchoscopy Simulator” Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study
Background: The appropriate management of a “difficult airway” remains a challenge for novices and experienced anaesthetists. With the current available airway technologies, e.g., video laryngoscopy, flexible bronchoscopy (fibreoptic intubation (FOI)) for endotracheal intubation is decreasing, likel...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455177/ https://www.ncbi.nlm.nih.gov/pubmed/37629237 http://dx.doi.org/10.3390/jcm12165195 |
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author | van Haperen, Maartje Kemper, Tom C. P. M. Hermanides, Jeroen Eberl, Susanne Hollmann, Markus W. Breel, Jennifer S. Preckel, Benedikt |
author_facet | van Haperen, Maartje Kemper, Tom C. P. M. Hermanides, Jeroen Eberl, Susanne Hollmann, Markus W. Breel, Jennifer S. Preckel, Benedikt |
author_sort | van Haperen, Maartje |
collection | PubMed |
description | Background: The appropriate management of a “difficult airway” remains a challenge for novices and experienced anaesthetists. With the current available airway technologies, e.g., video laryngoscopy, flexible bronchoscopy (fibreoptic intubation (FOI)) for endotracheal intubation is decreasing, likely diminishing caregiver skills. We investigated whether bronchoscopy simulator training improved FOI skills. Methods: 72 volunteers, consisting of anaesthetists, anaesthesia residents, and nurses, performed six exercises on a bronchoscopy simulator. At baseline and after 12 months, the six exercises included one serious game (to train agility), two basic airways, and three difficult airways. After a baseline assessment, subjects were randomly allocated to the intervention group (with) or control group without bronchoscopy simulator training every six weeks for 10 min using a preloaded serious game. The primary outcome was the difference in the time to reach the carina after 12 months, as measured objectively by the simulator. The level of stress and FOI confidence after 12 months were secondary outcomes. Results: The control and intervention groups had a similar time to reach the carina in difficult airway cases and the reported stress levels, at baseline and 12 months, showed no difference. In contrast, the intervention group’s self-reported confidence in FOI skills improved more. Conclusions: Although participants rated higher in confidence, practicing FOI skills on an airway simulator with an agility game did not increase their performance in simulated challenging airway instances. |
format | Online Article Text |
id | pubmed-10455177 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104551772023-08-26 Does Regular Practice with a “Flexible Bronchoscopy Simulator” Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study van Haperen, Maartje Kemper, Tom C. P. M. Hermanides, Jeroen Eberl, Susanne Hollmann, Markus W. Breel, Jennifer S. Preckel, Benedikt J Clin Med Article Background: The appropriate management of a “difficult airway” remains a challenge for novices and experienced anaesthetists. With the current available airway technologies, e.g., video laryngoscopy, flexible bronchoscopy (fibreoptic intubation (FOI)) for endotracheal intubation is decreasing, likely diminishing caregiver skills. We investigated whether bronchoscopy simulator training improved FOI skills. Methods: 72 volunteers, consisting of anaesthetists, anaesthesia residents, and nurses, performed six exercises on a bronchoscopy simulator. At baseline and after 12 months, the six exercises included one serious game (to train agility), two basic airways, and three difficult airways. After a baseline assessment, subjects were randomly allocated to the intervention group (with) or control group without bronchoscopy simulator training every six weeks for 10 min using a preloaded serious game. The primary outcome was the difference in the time to reach the carina after 12 months, as measured objectively by the simulator. The level of stress and FOI confidence after 12 months were secondary outcomes. Results: The control and intervention groups had a similar time to reach the carina in difficult airway cases and the reported stress levels, at baseline and 12 months, showed no difference. In contrast, the intervention group’s self-reported confidence in FOI skills improved more. Conclusions: Although participants rated higher in confidence, practicing FOI skills on an airway simulator with an agility game did not increase their performance in simulated challenging airway instances. MDPI 2023-08-09 /pmc/articles/PMC10455177/ /pubmed/37629237 http://dx.doi.org/10.3390/jcm12165195 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article van Haperen, Maartje Kemper, Tom C. P. M. Hermanides, Jeroen Eberl, Susanne Hollmann, Markus W. Breel, Jennifer S. Preckel, Benedikt Does Regular Practice with a “Flexible Bronchoscopy Simulator” Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study |
title | Does Regular Practice with a “Flexible Bronchoscopy Simulator” Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study |
title_full | Does Regular Practice with a “Flexible Bronchoscopy Simulator” Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study |
title_fullStr | Does Regular Practice with a “Flexible Bronchoscopy Simulator” Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study |
title_full_unstemmed | Does Regular Practice with a “Flexible Bronchoscopy Simulator” Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study |
title_short | Does Regular Practice with a “Flexible Bronchoscopy Simulator” Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study |
title_sort | does regular practice with a “flexible bronchoscopy simulator” improve fibreoptic intubation skills in experts and novices? a randomized controlled study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455177/ https://www.ncbi.nlm.nih.gov/pubmed/37629237 http://dx.doi.org/10.3390/jcm12165195 |
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