Comparing Simulation Training of Bronchoscopy-Guided Percutaneous Dilatational Tracheostomy Using Conventional Versus...

Area of Science:

• Medical Simulation
• Surgical Training
• Intensive Care Medicine

Background:

• Percutaneous dilatational tracheostomy (PDT) success varies among intensivists.
• Simulation training (ST) enhances medical procedure safety by reducing team stress.
• Evaluating ST benefits for PDT, comparing conventional (CSIM) and 3D-printed (3DSIM) simulators.

Purpose of the Study:

• Assess ST's impact on PDT procedural time and performance quality.
• Evaluate the effect of ST on proceduralist's perceived safety.
• Compare the efficacy of CSIM versus 3DSIM in ST for PDT.

Main Methods:

• Prospective, randomized, blinded cross-over study design.
• Participants underwent theoretical training, randomized ST with CSIM or 3DSIM.
• Performance assessed on porcine trachea for time, correctness, and perceived safety.

Main Results:

• Correctness of PDT performance significantly improved with 3DSIM (p < .01).
• Mean procedural time for PDT decreased significantly after ST (p < .01).
• Perceived safety increased significantly in both groups after ST (p < .001).

Conclusions:

• Simulation training enhances procedural skills, reduces time, and increases safety for PDT.
• 3D-printed simulators show significant improvements in procedural correctness.
• ST is a valuable tool for improving PDT performance and safety in critical care settings.