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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...

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Autores principales: van Haperen, Maartje, Kemper, Tom C. P. M., Hermanides, Jeroen, Eberl, Susanne, Hollmann, Markus W., Breel, Jennifer S., Preckel, Benedikt
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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