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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.

|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.

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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.