2025, Number 3
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Rev Mex Anest 2025; 48 (3)
Simulation in Anesthesiology and the anesthetic state
Guerrero-Gutiérrez MA, Nepomuceno-Severiano Y, Muñoz-García G, Martínez-Segura RT, Guevara-Luna O, Posadas-Casas C, Gómez-Ramírez MI, Serrano-Tamayo R, Cruz-Bracamontes CF, Martínez-Arellano R, Calixto-Flores A
Language: Spanish
References: 21
Page: 153-158
PDF size: 589.24 Kb.
ABSTRACT
Simulation in anesthesiology is a key educational tool that allows the acquisition of technical and non-technical skills essential for patient safety and quality of care. Simulations are classified according to the level of realism as low, medium, and high fidelity. Low-fidelity simulation uses basic anatomical models, simple mannequins, or partial simulators designed for specific tasks (e.g., arm models for intravenous cannulation, orotracheal intubation on static models). It focuses primarily on basic motor skills and is ideal for students in their initial training stages. Medium-fidelity simulation includes mannequins that simulate some physiological functions (e.g., heart sounds, lung sounds, palpable pulse) and allow for more realistic clinical situations without full physiological responses. They are used to practice specific clinical situations, manage common scenarios, work well with a team, and communicate effectively in controlled settings. High-fidelity simulation: Represents the highest level of realism, using advanced mannequins with dynamic physiological response and real-time monitoring (blood pressure, ECG, oxygen saturation, capnography, etc.). These simulators allow the reproduction of critical situations, complex anesthetic emergencies, advanced crisis management, and clinical decision-making in a safe and controlled environment. They are essential for advanced training, continuing education, competency assessment, and interdisciplinary training. With these simulators he has been able to recreate situations to be able to carry out scenarios of total intravenous anesthesia and in turn of depth of the anesthetic state.
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