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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
259

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Role of simulation-based training in thoracic anaesthesia.

Swapnil Y Parab1, Priya Ranganathan1, Madhavi Shetmahajan1

  • 1Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National University, Dr. E Borges Road, Parel, Mumbai, Maharashtra, India.

Indian Journal of Anaesthesia
|February 26, 2024
PubMed
Summary

Simulation-based training (SBT) enhances anaesthesiologists' technical and non-technical skills. However, its impact on patient outcomes requires further proof through randomized controlled trials.

Keywords:
Bronchoscopylung isolationone-lung ventilationsimulationsimulation-based trainingtechnical skillsthoracic anaesthesia

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Area of Science:

  • Medical Education
  • Anesthesiology
  • Surgical Simulation

Background:

  • Simulation-based training (SBT) is utilized for skill acquisition in anesthesiology without patient risk.
  • Various simulators exist for thoracic anesthesia, differing in fidelity and cost.
  • SBT can improve bronchoscopy skills, lung isolation techniques, complication management, and proficiency certification.

Purpose of the Study:

  • To evaluate the role of simulation-based training in developing technical and non-technical skills for anesthesiologists.
  • To explore the applications of simulation in thoracic anesthesia, including difficult airways and surgical complication troubleshooting.
  • To assess the current evidence supporting SBT's effectiveness and identify research gaps.

Main Methods:

  • Review of existing literature on simulation-based training in anesthesiology.
  • Analysis of simulator applications in thoracic anesthesia.
  • Evaluation of studies assessing skill acquisition and retention through simulation.

Main Results:

  • SBT effectively aids in acquiring procedural competence and non-technical abilities.
  • Simulator choice should be pragmatic, considering availability, cost, and benefits.
  • Evidence supports SBT for improving procedural skills, but skill retention and clinical outcome translation are largely unproven.

Conclusions:

  • Simulation-based training is a valuable tool for enhancing anesthesiologists' skills.
  • Further research, particularly randomized controlled trials, is needed to demonstrate SBT's impact on patient clinical outcomes.
  • A balanced approach to simulator selection is recommended based on practical considerations.