García N, Delfino A, Bravo M, Montaña R, Altermatt F, Corvetto M

Language: Spanish
References: 18
Page: 69-74
PDF size: 206.46 Kb.

ABSTRACT

Background: Simulation-based training for anesthesia critical events is appropriate and feasible. However, measures of the acquisition of skills and outcome improvements after simulation-based crisis training for anesthesia teams have been scarcely assessed. Objective: to determine whether simulated anesthesia crisis training for anesthesia teams, improves nontechnical skills. As secondary outcome, a two months later survey was done aiming to collect self-perceived changes in their management of critical events. Methods: Prospective, observational cohort study. A 2-day anesthesia crisis resource management course was developed for anesthesia teams, with the objective of improving participant’s proficiency in Anesthesia Crisis Resource Management (ACRM) skills. Videotapes of all performances were reviewed by two blinded independent raters. They rated participant’s nontechnical skills using the Anesthetist’s Non-Technical Skills (ANTS) score system. Results: All participants successfully finished the course. Several aspects of it were highly rated in the satisfaction survey. Average scores from questionnaires assessing knowledge improved from 54% to 81%. There was no improvement in the mean total ANTS score of participants, between their first and last scenario. The response rate of the two months later survey was 85% (17 of 20). All of them agreed that it improved their ability to manage anesthetic emergencies. Conclusions: Exposure to six simulated anesthesia crises does not improve participant’s nontechnical skills, despite a high perception of improvement in their clinical practice. Further research should be done in order to evaluate larger populations and to assess the maintenance of the potential acquired skills.

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