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Basic simulations for anaesthetists. A pilot study of the ACCESS system
A J Byrne1, P J Hilton, J N Lunn
1Department of Anaesthesia, Morriston Hospital, Swansea.
Anaesthesia
|May 1, 1994
Summary
The ACCESS (Anaesthetic Computer Controlled Emergency Situation Simulator) system effectively trains junior doctors in managing anaesthetic emergencies. This low-cost simulation tool proved realistic and valuable for medical education.
Area of Science:
- Medical Education
- Simulation Technology
- Anesthesiology
Background:
- Junior doctors require effective training for managing complex anaesthetic emergencies.
- Traditional training methods can be resource-intensive and time-consuming.
- A need exists for accessible, realistic simulation tools in anesthesiology.
Purpose of the Study:
- To describe the design and initial testing of the ACCESS system.
- To evaluate the utility of a computer-controlled simulator for anaesthetic emergency training.
- To assess the system's effectiveness in training junior doctors.
Main Methods:
- Development of the Anaesthetic Computer Controlled Emergency Situation Simulator (ACCESS).
- Utilizing standard anaesthetic equipment with microcomputer-generated instrument displays.
- Presenting simulated anaesthetic emergency scenarios for trainees and experienced anaesthetists.
Main Results:
- Trainees in 64 scenarios achieved a median problem-solving time of 2.5 minutes with two simulated 'deaths'.
- Experienced anaesthetists achieved a median time of 1.8 minutes with one simulated 'death'.
- Trainees rated the ACCESS simulation as easy to use, realistic, and educationally valuable.
Conclusions:
- The ACCESS system provides a cost-effective and time-efficient method for anaesthetic emergency training.
- The simulation effectively replicates critical scenarios, enhancing junior doctor preparedness.
- ACCESS is a valuable educational tool for improving skills in anaesthesiology.

