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Simulation Training for Residents Focused on Mechanical Ventilation: A Randomized Trial Using Mannequin-Based Versus Computer-Based Simulation

INTRODUCTION: Advances in knowledge regarding mechanical ventilation (MV), in particular lung-protective ventilation strategies, have been shown to reduce mortality. However, the translation of these advances in knowledge into better therapeutic performance in real-life clinical settings continues t...

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Autores principales: Spadaro, Savino, Karbing, Dan Stieper, Fogagnolo, Alberto, Ragazzi, Riccardo, Mojoli, Francesco, Astolfi, Luca, Gioia, Antonio, Marangoni, Elisabetta, Rees, Stephen Edward, Volta, Carlo Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768222/
https://www.ncbi.nlm.nih.gov/pubmed/28825930
http://dx.doi.org/10.1097/SIH.0000000000000249
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author Spadaro, Savino
Karbing, Dan Stieper
Fogagnolo, Alberto
Ragazzi, Riccardo
Mojoli, Francesco
Astolfi, Luca
Gioia, Antonio
Marangoni, Elisabetta
Rees, Stephen Edward
Volta, Carlo Alberto
author_facet Spadaro, Savino
Karbing, Dan Stieper
Fogagnolo, Alberto
Ragazzi, Riccardo
Mojoli, Francesco
Astolfi, Luca
Gioia, Antonio
Marangoni, Elisabetta
Rees, Stephen Edward
Volta, Carlo Alberto
author_sort Spadaro, Savino
collection PubMed
description INTRODUCTION: Advances in knowledge regarding mechanical ventilation (MV), in particular lung-protective ventilation strategies, have been shown to reduce mortality. However, the translation of these advances in knowledge into better therapeutic performance in real-life clinical settings continues to lag. High-fidelity simulation with a mannequin allows students to interact in lifelike situations; this may be a valuable addition to traditional didactic teaching. The purpose of this study is to compare computer-based and mannequin-based approaches for training residents on MV. METHODS: This prospective randomized single-blind trial involved 50 residents. All participants attended the same didactic lecture on respiratory pathophysiology and were subsequently randomized into two groups: the mannequin group (n = 25) and the computer screen–based simulator group (n = 25). One week later, each underwent a training assessment using five different scenarios of acute respiratory failure of different etiologies. Later, both groups underwent further testing of patient management, using in situ high-fidelity simulation of a patient with acute respiratory distress syndrome. RESULTS: Baseline knowledge was not significantly different between the two groups (P = 0.72). Regarding the training assessment, no significant differences were detected between the groups. In the final assessment, the scores of only the mannequin group significantly improved between the training and final session in terms of either global rating score [3.0 (2.5–4.0) vs. 2.0 (2.0–3.0), P = 0.005] or percentage of key score (82% vs. 71%, P = 0.001). CONCLUSIONS: Mannequin-based simulation has the potential to improve skills in managing MV.
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spelling pubmed-57682222018-02-02 Simulation Training for Residents Focused on Mechanical Ventilation: A Randomized Trial Using Mannequin-Based Versus Computer-Based Simulation Spadaro, Savino Karbing, Dan Stieper Fogagnolo, Alberto Ragazzi, Riccardo Mojoli, Francesco Astolfi, Luca Gioia, Antonio Marangoni, Elisabetta Rees, Stephen Edward Volta, Carlo Alberto Simul Healthc Empirical Investigations INTRODUCTION: Advances in knowledge regarding mechanical ventilation (MV), in particular lung-protective ventilation strategies, have been shown to reduce mortality. However, the translation of these advances in knowledge into better therapeutic performance in real-life clinical settings continues to lag. High-fidelity simulation with a mannequin allows students to interact in lifelike situations; this may be a valuable addition to traditional didactic teaching. The purpose of this study is to compare computer-based and mannequin-based approaches for training residents on MV. METHODS: This prospective randomized single-blind trial involved 50 residents. All participants attended the same didactic lecture on respiratory pathophysiology and were subsequently randomized into two groups: the mannequin group (n = 25) and the computer screen–based simulator group (n = 25). One week later, each underwent a training assessment using five different scenarios of acute respiratory failure of different etiologies. Later, both groups underwent further testing of patient management, using in situ high-fidelity simulation of a patient with acute respiratory distress syndrome. RESULTS: Baseline knowledge was not significantly different between the two groups (P = 0.72). Regarding the training assessment, no significant differences were detected between the groups. In the final assessment, the scores of only the mannequin group significantly improved between the training and final session in terms of either global rating score [3.0 (2.5–4.0) vs. 2.0 (2.0–3.0), P = 0.005] or percentage of key score (82% vs. 71%, P = 0.001). CONCLUSIONS: Mannequin-based simulation has the potential to improve skills in managing MV. Lippincott Williams & Wilkins 2017-12 2017-10-26 /pmc/articles/PMC5768222/ /pubmed/28825930 http://dx.doi.org/10.1097/SIH.0000000000000249 Text en Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Society for Simulation in Healthcare. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Empirical Investigations
Spadaro, Savino
Karbing, Dan Stieper
Fogagnolo, Alberto
Ragazzi, Riccardo
Mojoli, Francesco
Astolfi, Luca
Gioia, Antonio
Marangoni, Elisabetta
Rees, Stephen Edward
Volta, Carlo Alberto
Simulation Training for Residents Focused on Mechanical Ventilation: A Randomized Trial Using Mannequin-Based Versus Computer-Based Simulation
title Simulation Training for Residents Focused on Mechanical Ventilation: A Randomized Trial Using Mannequin-Based Versus Computer-Based Simulation
title_full Simulation Training for Residents Focused on Mechanical Ventilation: A Randomized Trial Using Mannequin-Based Versus Computer-Based Simulation
title_fullStr Simulation Training for Residents Focused on Mechanical Ventilation: A Randomized Trial Using Mannequin-Based Versus Computer-Based Simulation
title_full_unstemmed Simulation Training for Residents Focused on Mechanical Ventilation: A Randomized Trial Using Mannequin-Based Versus Computer-Based Simulation
title_short Simulation Training for Residents Focused on Mechanical Ventilation: A Randomized Trial Using Mannequin-Based Versus Computer-Based Simulation
title_sort simulation training for residents focused on mechanical ventilation: a randomized trial using mannequin-based versus computer-based simulation
topic Empirical Investigations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768222/
https://www.ncbi.nlm.nih.gov/pubmed/28825930
http://dx.doi.org/10.1097/SIH.0000000000000249
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