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

Area of Science:

• Medical Education
• Critical Care Medicine
• Simulation Technology

Background:

• Lung-protective ventilation strategies reduce mortality but clinical application lags.
• High-fidelity simulation offers realistic training scenarios.
• Effective training is crucial for translating mechanical ventilation (MV) advances into clinical practice.

Purpose of the Study:

• To compare computer-based versus mannequin-based simulation for training residents on mechanical ventilation (MV).
• To evaluate the efficacy of different simulation modalities in improving MV management skills.

Main Methods:

• Prospective randomized single-blind trial with 50 residents.
• Two groups: mannequin-based simulation (n=25) and computer-based simulator (n=25).
• Training assessment and in situ high-fidelity simulation for acute respiratory distress syndrome patient management.

Main Results:

• No significant difference in baseline knowledge between groups.
• No significant difference in initial training assessment scores.
• Mannequin group showed significant improvement in global rating scores and key score percentage in final assessment.

Conclusions:

• Mannequin-based simulation effectively improves skills in managing mechanical ventilation (MV).
• High-fidelity mannequin simulation enhances resident competency in critical care scenarios.