Effectiveness of using high-fidelity simulation to teach the management of general anesthesia for Cesarean delivery

Purpose The objective of this study was to assess the influence of a teaching plan consisting of didactic teaching and repeated simulations on the performance of anesthesia residents in the management of general anesthesia (GA) for emergency Cesarean delivery (CD). Methods Twenty-one postgraduate ye...

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Bibliographic Details
Published in:Canadian journal of anesthesia 2014-10, Vol.61 (10), p.922-934
Main Authors: Balki, Mrinalini, Chakravarty, Subrata, Salman, Aliya, Wax, Randy S.
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia, General - methods
Anesthesiology
Anesthesiology - education
Cardiology
Cesarean Section - education
Cesarean Section - methods
Checklist
Clinical Competence
Cohort Studies
Computer Simulation
Critical Care Medicine
Female
Humans
Intensive
Internship and Residency
Medicine
Medicine & Public Health
Pain Medicine
Pediatrics
Pneumology/Respiratory System
Pregnancy
Prospective Studies
Reports of Original Investigations
Simulation
Teaching
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Summary:Purpose The objective of this study was to assess the influence of a teaching plan consisting of didactic teaching and repeated simulations on the performance of anesthesia residents in the management of general anesthesia (GA) for emergency Cesarean delivery (CD). Methods Twenty-one postgraduate year 2 (PGY2) and 3 (PGY3) anesthesia residents from the University of Toronto were recruited in this prospective cohort study. All participants received didactic teaching in the management of GA for emergency CD, which was followed one week later by assessment of performance in the same scenario using a high-fidelity simulator. Another simulation assessment was repeated two months later in the same scenario. All simulation video recordings were assessed by two blinded experts using a validated checklist and an Anaesthetists’ Non-Technical Skills (ANTS) scale in order to rate their technical and non-technical skills, respectively. The participants’ performance (based on the above scales) in the two simulation sessions were then compared. Results Nineteen residents completed both simulation sessions. There was an improvement in the mean (SD) weighted checklist score from 64.5% (7.1%) in session 1 to 76.7% (6.7%) in session 2 ( P  
ISSN:0832-610X
1496-8975
DOI:10.1007/s12630-014-0209-7