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Problem-based learning for anesthesia resident operating room crisis management training.

Nobuyasu Komasawa1, Benjamin W Berg2, Toshiaki Minami1

  • 1Department of Anesthesiology, Osaka Medical College, Takatsuki, Osaka, Japan.

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|November 20, 2018
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Summary
This summary is machine-generated.

Problem-based learning (PBL) improved anesthesia residents' self-confidence in managing operating room (OR) emergencies, particularly those involving circulation and pain management complications. However, confidence in airway crisis management did not significantly change.

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Area of Science:

  • Anesthesiology
  • Medical Education
  • Patient Safety

Background:

  • Anesthesia residents require crisis management skills for operating room (OR) emergencies.
  • Problem-based learning (PBL) scenarios focused on airway, circulation, central venous catheter, and pain management complications.
  • Non-technical skills are crucial for team-based emergency management.

Purpose of the Study:

  • To evaluate the impact of PBL on anesthesia residents' self-confidence in managing OR emergencies.
  • To assess changes in clinical management self-confidence across various emergency scenarios.

Main Methods:

  • 35 anesthesia residents completed pre- and post-PBL self-confidence surveys.
  • Surveys assessed frequency of OR emergencies and self-confidence in crisis management.
  • PBL training integrated clinical and non-technical skills.

Main Results:

  • Self-confidence significantly improved for circulation, central venous catheter, and pain management complications (P<0.05).
  • No significant improvement in self-confidence was observed for impossible intubation, impossible oxygenation, or awake intubation scenarios.
  • Overall resident self-confidence in OR emergency management showed improvement.

Conclusions:

  • PBL is an effective method for enhancing anesthesia residents' self-confidence in managing specific OR emergencies.
  • Targeted PBL interventions may be necessary to improve confidence in managing critical airway events.