2025, Number 3
Simulation-Based Learning (SBL): a comprehensive approach to pain crisis and regional anesthesia training using clinical simulation and immersive technology
Full text
10.35366/120424
Language: Spanish
References: 19
Page: 174-179
PDF size: 1240.10 Kb.
ABSTRACT
The ABASI (Simulation-Based Learning) course is an innovative educational initiative that integrates advanced clinical simulation and immersive technology for specialized training in regional anesthesia and pain management. Since its creation in 2016, it has been led by a multidisciplinary team and has become a benchmark model in Latin America, with prominent participation in conferences such as LASRA (Latin American Society of Regional Anesthesia), CLASA (Confederación Latinoamericana de Sociedades de Anestesiología), and SIMULANEST COMEXANE (Colegio Mexicano de Anestesiología). Its approach combines deliberate practice —including the development of technical skills (ultrasound-guided peripheral nerve blocks, catheter placement, among others)— with the simulation of critical events related to crises in pain and/or regional analgesia, such as the management of complications like LAST (Local Anesthetic Systemic Toxicity), diaphragmatic hemiparesis, and pneumothorax. It also emphasizes the development of non-technical competencies, such as effective communication, clinical leadership, and decision-making under pressure. To achieve this, the program uses anatomical models, biological simulators, standardized patients, and high-fidelity manikins in clinical scenarios that replicate real perioperative situations. Since 2024, ABASI has incorporated VR (Virtual Reality) technology as a complementary tool to enhance technical precision, clinical safety, and autonomous learning. Its flexible design allows these experiences to be developed even outside conventional simulation centers, adapting to clinical spaces or academic events without compromising educational quality. ABASI promotes a culture of safety, critical thinking, and humanized care, consolidating itself as a replicable and evidence-based model for continuing medical education in anesthesiology.REFERENCES
Garduño-López AL, Acosta Nava VM, Castro Garcés L, Rascón-Martínez DM, Cuellar-Guzmán LF, Flores-Villanueva ME, et al. Towards better perioperative pain management in Mexico: a study in a network of hospitals using quality improvement methods from Pain Out. J Pain Res. 2021;14:415-430. doi: 10.2147/JPR.S282850.
Garduño-López AL, Acosta-Nava V, Verdugo-Velázquez F, Grajeda-Rábago ZF, Ramírez-Miguel W, Rascón-Martínez DM, et al. Segundo proyecto Pain Out México: descifrando la interferencia funcional y el dolor neuropático postoperatorio, hacia el diseño de una clínica transicional de dolor. Rev Mex Anest. 2024;47:224-229.
Garduño-López AL, Castro-Garcés L, Guido-Guerra RE, Monroy-Álvarez CJ, Ortega-Maldonado WE, Acosta-Nava VM. Aprendizaje basado en simulación: experiencia en el manejo del dolor postoperatorio. En: Carillo Esper R, Mejía Terrazas GE. Clínicas Mexicanas de Anestesiología. Vol. 36. México: Editorial Alfil; 2019. pp. 85-95.