Educating Perioperative Nurses About Local Anesthetic Systemic Toxicity Using High-Fidelity Simulation.

Area of Science:

• Anesthesiology
• Medical Education
• Patient Safety

Background:

• Rare perianesthetic emergencies like local anesthetic systemic toxicity (LAST) pose training challenges for support staff.
• Simulation learning provides a safe environment to practice managing infrequent, critical events.

Purpose of the Study:

• To assess knowledge retention of local anesthetic systemic toxicity (LAST) among perianesthetic nurses.
• To evaluate the effectiveness of high-fidelity simulation combined with didactic training.

Main Methods:

• Thirteen nurses participated in a simulated LAST scenario and a brief lecture.
• Knowledge was assessed via pre-tests and post-tests at multiple time points (immediate, 1 month, 3 months).
• Self-efficacy and simulation experience were evaluated through surveys.

Main Results:

• Significant improvements in test scores were observed immediately after, and at 1 and 3 months post-simulation.
• Participants reported increased confidence in managing crisis situations.
• High-fidelity simulation led to enhanced knowledge acquisition and retention.

Conclusions:

• Experiential learning through simulation effectively improves knowledge and retention of critical emergency procedures.
• High-fidelity simulation is a valuable tool for enhancing perianesthetic staff preparedness for rare events like LAST.
• The study demonstrated increased self-efficacy and crisis management skills in participants.