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Remote Simulation as a Training Method for Artificial Airway Suctioning Technique
Patricio García-Valdés1,2, Francisca Rammsy1, Javiera Fuentes1
1Mr. García-Valdés, Ms. Rammsy, Fuentes, Mr. Torres, Ms. Quilaleo, Muñoz, Mr. Coloanes, Ms. Diez de Medina, Chamorro-Giné, Mr. Moya-Gallardo, Prof. Damiani, and Mr. Villagrán are affiliated with Escuela Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Respiratory Care
|March 25, 2026
Summary
Remote simulation training significantly improved physiotherapy students' artificial airway suctioning skills, achieving expert-level performance. This educational strategy shows promise for competency-based training in healthcare education.
Area of Science:
- Medical Education
- Physiotherapy Training
- Simulation Technology
Background:
- Artificial airway suctioning is a high-risk procedure requiring thorough training.
- Remote simulation offers an alternative educational approach, but its effectiveness is not well-established.
- Limited evidence exists on remote simulation's impact on procedural competence and learning in healthcare.
Purpose of the Study:
- To evaluate the impact of an asynchronous remote simulation program on physiotherapy students' procedural competence in artificial airway suctioning.
- To assess changes in theoretical knowledge, anxiety levels, and student perceptions following the simulation program.
- To determine the feasibility of remote simulation for competency-based training in cardiorespiratory physiotherapy.
Main Methods:
- A quasi-experimental study involving 4th-year physiotherapy students in a cardiorespiratory course.
- A 4-week asynchronous remote simulation program with instructional materials, 3D airway model practice, and multimodal feedback.
- Assessment of procedural performance using Directly Observed Procedural Skills (DOPS) compared to expert performance; evaluation of theoretical knowledge, anxiety, and perceptions.
Main Results:
- Significant improvement in procedural performance across training sessions, with DOPS scores comparable to expert performance (P < .001).
- No significant changes in theoretical knowledge or anxiety levels were observed.
- Students reported positive perceptions of the remote simulation training, with the perception questionnaire showing high internal consistency.
Conclusions:
- Asynchronous remote simulation effectively improved procedural performance in artificial airway suctioning for physiotherapy students.
- Remote simulation is a feasible strategy for competency-based training, enhancing procedural skills and positive learning perceptions.
- The study underscores the need for appropriate assessment tools and contextual interpretation of outcomes in simulation-based education.
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