Details

Autor(en) / Beteiligte

• Ahmed, Rami A.
• Dunn, Diane
• Haines, Nhi
• Hejal, Rana
• George, Richard
• Fuenning, Charles
• Yee, Jennifer
• Gothard, M. David
• Annane, Djillali

Titel

Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study

Ist Teil von

• Critical Care Research and Practice, 2016-01, Vol.2016 (2016), p.65-71

Ort / Verlag

Cairo, Egypt: Hindawi Limiteds

Erscheinungsjahr

2016

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Objectives. Management of mechanically ventilated patients may pose a challenge to novice residents, many of which may not have received formal dedicated critical care instruction prior to starting their residency training. There is a paucity of data regarding simulation and mechanical ventilation training in the medical education literature. The purpose of this study was to develop a curriculum to educate first-year residents on addressing and troubleshooting ventilator alarms. Methods. Prospective evaluation was conducted of seventeen residents undergoing a twelve-hour three-day curriculum. Residents were assessed using a predetermined critical action checklist for each case, as well as pre- and postcurriculum multiple-choice cognitive knowledge questionnaires and confidence surveys. Results. Significant improvements in cognitive knowledge, critical actions, and self-reported confidence were demonstrated. The mean change in test score from before to after intervention was +26.8%, and a median score increase of 25% was noted. The ARDS and the mucus plugging cases had statistically significant improvements in critical actions, p < 0.001 . A mean increase in self-reported confidence was realized (1.55 to 3.64), p = 0.049 . Conclusions. A three-day simulation curriculum for residents was effective in increasing competency, knowledge, and confidence with ventilator management.