Developing Modules to Train Anesthesiology Residents & Medical Students in a Lung Isolation Technique

Area of Science:

• Anesthesiology
• Medical Education

Background:

• One-lung ventilation (OLV) is crucial for thoracic surgery.
• Bronchial blockers offer advantages over double-lumen endotracheal tubes (DLTs) but require specialized skills.
• Assessing trainee proficiency in bronchial blocker placement for OLV is essential.

Purpose of the Study:

• To evaluate the effectiveness of a 4-week multimodal training module in teaching trainees to perform OLV using bronchial blockers.
• To determine if trainees can achieve satisfactory OLV with bronchial blockers after completing the training.

Main Methods:

• A multimodal training program including didactics (lectures, videos) and simulation was implemented.
• Trainees practiced bronchial blocker placement under supervision and independently, with skills checks and feedback.
• Advanced trainees received further clinical training in the operating room.

Main Results:

• Statistically significant improvements were observed in didactic test scores (p=0.02).
• Trainees showed significant improvement in skills check performance during simulation (p<0.01).
• All trainees performing OLV in the operating room demonstrated technical proficiency.

Conclusions:

• A standardized multimodal teaching module enhances knowledge and skills for bronchial blocker placement and OLV.
• The training effectively prepares trainees for proficient OLV using bronchial blockers.
• This educational approach is beneficial for developing critical airway management skills.