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Guidelines for Elective Pediatric Fiberoptic Intubation
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Teaching basic fiberoptic intubation skills in a simulator: initial learning and skills decay.

Rana K Latif1,2,3, Alexander Bautista4, Xinyuan Duan5

  • 1Department of Anesthesiology and Perioperative Medicine, University of Louisville School of Medicine, 530 S. Jackson St., Louisville, KY, 40202, USA. rklati01@louisville.edu.

Journal of Anesthesia
|October 24, 2015
PubMed
Summary

Novice anesthesiologists can be trained in fiberoptic bronchoscopy and intubation using simulators. Skills decay over time, but retraining is quicker, improving patient safety.

Keywords:
EducationIntubationPatient simulationSkill decay

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Area of Science:

  • Medical Education
  • Anesthesiology
  • Simulation-based Training

Background:

  • Traditional fiberoptic intubation training on patients raises safety concerns.
  • Simulation offers a safer alternative for novice skill acquisition.

Purpose of the Study:

  • To assess the efficacy of simulator training for novice fiberoptic bronchoscopy and intubation skills.
  • To evaluate skill decay and retraining effectiveness over a 2-month period.

Main Methods:

  • Quantitative norms for proficiency were established using experienced anesthesiologists.
  • Novices trained on Virtual Reality and Human Airway Anatomy simulators.
  • Skill decay and retraining time were assessed after 2 months.

Main Results:

  • Novices achieved proficiency in fiberoptic bronchoscopy (11±5 attempts, 658±351s).
  • Fiberoptic bronchoscopy skills decayed after 2 months (41±8s to 68±31s, P=0.0138).
  • Retraining required 424±230s and 9.1±4.6 attempts.

Conclusions:

  • Simulator training successfully equips novices with essential fiberoptic skills.
  • While skills decay, retraining is efficient, suggesting a viable training model.