Physiological and self-assessed psychological stress induced by a high fidelity simulation course among third year anesthesia and critical care residents: An observational study

• Published in: Anaesthesia critical care & pain medicine 2017-12, Vol.36 (6), p.403-406
• Main Authors: Geeraerts, Thomas, Roulleau, Philippe, Cheisson, Gaëlle, Marhar, Fouad, Aidan, Karl, Lallali, Karim, Leguen, Morgan, Schnell, David, Trabold, Fabien, Fauquet-Alekhine, Philippe, Duranteau, Jacques, Benhamou, Dan
• Format: Article
• Language: English
• Subjects: Adult; Amylases - analysis; Amylases - metabolism; Anaesthesia; Anesthesiology - education; Clinical Competence; Crisis management; Critical Care; Female; High Fidelity Simulation Training - methods; Humans; Internship and Residency - statistics & numerical data; Male; Saliva - enzymology; Self-Assessment; Simulation; Stress; Stress, Physiological; Stress, Psychological - etiology; Stress, Psychological - psychology
• ISSN: 2352-5568; 2352-5568
• DOI: 10.1016/j.accpm.2017.06.002

The use of high fidelity simulators in Medicine can improve knowledge, behaviour and practice but may be associated with significant stress. Our objective was to measure physiological and psychological self-assessed intensity of stress before and after a planned simulation training session among third year anaesthesia and critical care residents. A convenience sample of 27 residents participating in a simulation training course was studied. Stress was evaluated by self-assessment using a numerical scale and by salivary amylase concentration before and after the session. Technical and non-technical (using the Aberdeen Anaesthetists’ Non Technical Skills scale) performances were assessed through videotapes analysis. The median stress score was 5 (2–8) before and 7 (2–10) after the simulation session (P