Managing the Airway Catastrophe: Longitudinal Simulation-based Curriculum to Teach Airway Management

Overview

Journal J Otolaryngol Head Neck Surg

Publisher Sage Publications

Specialties General Surgery
Otorhinolaryngology

Date 2019 Feb 21

PMID 30782200

Citations 8

Authors

Lily H P Nguyen

Ilana Bank

Rachel Fisher

Marco Mascarella

Meredith Young

Affiliations

Soon will be listed here.

Abstract

Background: A longitudinal curriculum was developed in conjunction with anesthesiologists, otolaryngologists, emergency physicians and experts in medical simulation and education.

Methods: Residents participated in four different simulation-based training modules using animal models, cadavers, task trainers, and crisis scenarios using high fidelity manikins. Scenarios were based on various clinical settings (i.e. emergency room, operating room) and were followed by video-assisted structured debriefings. Participants completed both a self-assessment questionnaire and an exit survey using five-point Likert scales.

Results: 31 otolaryngology residents participated in the curriculum. Residents reported simulation training significantly improved technical skills such as tracheostomy, cricothyroidotomy and pediatric intubation (p < 0.05 for all). Non-technical skills, including communication, delegation and management were significantly improved on post-test surveys in simulated crisis scenarios (p < 0.05 for all). 90 (28/31) of participants found simulations to be very realistic. Junior residents placed increased value on didactic teaching and procedural skills, while senior residents on crisis scenarios. Survey results indicated that > 90% (28/31) of participants found the modules of the curriculum to be useful and would recommend them to others.

Conclusion: A longitudinal simulation-based medical curriculum can be an effective method to teach airway management and teamwork skills to otolaryngology residents.

Citing Articles

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References

Finer N, Rich W . Neonatal resuscitation: toward improved performance. Resuscitation. 2002; 53(1):47-51. DOI: 10.1016/s0300-9572(01)00494-4. View

Glavin R, Maran N . Integrating human factors into the medical curriculum. Med Educ. 2003; 37 Suppl 1:59-64. DOI: 10.1046/j.1365-2923.37.s1.5.x. View

Howard S, Gaba D, Fish K, Yang G, Sarnquist F . Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents. Aviat Space Environ Med. 1992; 63(9):763-70. View

Thomas E, Sexton J, Helmreich R . Translating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitation. Qual Saf Health Care. 2004; 13 Suppl 1:i57-64. PMC: 1765791. DOI: 10.1136/qhc.13.suppl_1.i57. View

Zirkle M, Blum R, Raemer D, Healy G, Roberson D . Teaching emergency airway management using medical simulation: a pilot program. Laryngoscope. 2005; 115(3):495-500. DOI: 10.1097/01.mlg.0000157834.69121.b1. View

DAmour D, Ferrada-Videla M, Rodriguez L, Beaulieu M . The conceptual basis for interprofessional collaboration: core concepts and theoretical frameworks. J Interprof Care. 2005; 19 Suppl 1:116-31. DOI: 10.1080/13561820500082529. View

Issenberg S, McGaghie W, Petrusa E, Gordon D, Scalese R . Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005; 27(1):10-28. DOI: 10.1080/01421590500046924. View

Altman K, Waltonen J, Kern R . Urgent surgical airway intervention: a 3 year county hospital experience. Laryngoscope. 2005; 115(12):2101-4. DOI: 10.1097/01.mlg.0000180176.66968.0f. View

Awad Z, Pothier D . Management of surgical airway emergencies by junior ENT staff: a telephone survey. J Laryngol Otol. 2006; 121(1):57-60. DOI: 10.1017/S0022215106002738. View

10.

Sundar E, Sundar S, Pawlowski J, Blum R, Feinstein D, Pratt S . Crew resource management and team training. Anesthesiol Clin. 2007; 25(2):283-300. DOI: 10.1016/j.anclin.2007.03.011. View

11.

Salas E, DiazGranados D, Weaver S, King H . Does team training work? Principles for health care. Acad Emerg Med. 2008; 15(11):1002-9. DOI: 10.1111/j.1553-2712.2008.00254.x. View

12.

Deutsch E, Christenson T, Curry J, Hossain J, Zur K, Jacobs I . Multimodality education for airway endoscopy skill development. Ann Otol Rhinol Laryngol. 2009; 118(2):81-6. DOI: 10.1177/000348940911800201. View

13.

Buljac-Samardzic M, Dekker-van Doorn C, van Wijngaarden J, van Wijk K . Interventions to improve team effectiveness: a systematic review. Health Policy. 2009; 94(3):183-95. DOI: 10.1016/j.healthpol.2009.09.015. View

14.

Langhan T, Rigby I, Walker I, Howes D, Donnon T, Lord J . Simulation-based training in critical resuscitation procedures improves residents' competence. CJEM. 2009; 11(6):535-9. DOI: 10.1017/s1481803500011805. View

15.

Cheng A, Goldman R, Aish M, Kissoon N . A simulation-based acute care curriculum for pediatric emergency medicine fellowship training programs. Pediatr Emerg Care. 2010; 26(7):475-80. DOI: 10.1097/PEC.0b013e3181e5841b. View

16.

Andreatta P, Bullough A, Marzano D . Simulation and team training. Clin Obstet Gynecol. 2010; 53(3):532-44. DOI: 10.1097/GRF.0b013e3181ec1a48. View

17.

Nishisaki A, Nguyen J, Colborn S, Watson C, Niles D, Hales R . Evaluation of multidisciplinary simulation training on clinical performance and team behavior during tracheal intubation procedures in a pediatric intensive care unit. Pediatr Crit Care Med. 2010; 12(4):406-14. DOI: 10.1097/PCC.0b013e3181f52b2f. View

18.

Jabbour N, Reihsen T, Sweet R, Sidman J . Psychomotor skills training in pediatric airway endoscopy simulation. Otolaryngol Head Neck Surg. 2011; 145(1):43-50. DOI: 10.1177/0194599811403379. View

19.

Volk M, Ward J, Irias N, Navedo A, Pollart J, Weinstock P . Using medical simulation to teach crisis resource management and decision-making skills to otolaryngology housestaff. Otolaryngol Head Neck Surg. 2011; 145(1):35-42. DOI: 10.1177/0194599811400833. View

20.

McGaghie W, Draycott T, Dunn W, Lopez C, Stefanidis D . Evaluating the impact of simulation on translational patient outcomes. Simul Healthc. 2011; 6 Suppl:S42-7. PMC: 3153601. DOI: 10.1097/SIH.0b013e318222fde9. View