Journal article
Crisis Management Simulation: Establishing a Dual Neurosurgery and Anesthesia Training Experience
Journal of neurosurgical anesthesiology, Vol.30(1), pp.65-70
01/2018
DOI: 10.1097/ANA.0000000000000401
PMID: 29219894
Abstract
Simulation training has been shown to be an effective teaching tool. Learner management of an intraoperative crisis such as a major cerebrovascular bleed requires effective teamwork, communication, and implementation of key skill sets at appropriate time points. This study establishes a first of a kind simulation experience in a neurosurgery/anesthesia resident (learners) team working together to manage an intraoperative crisis.
Using a cadaveric cavernous carotid injury perfusion model, 7 neurosurgery and 6 anesthesia learners, were trained on appropriate vascular injury management using an endonasal endoscopic technique. Learners were evaluated on communication skills, crisis management algorithms, and implementation of appropriate skill sets at the right time. A preanatomic and postanatomic examination and postsimulation survey was administered to neurosurgery learners. Anesthesia learners provided posttraining evaluation through a tailored realism and teaching survey.
Neurosurgery learners' anatomic examination score improved from presimulation (33.89%) to postsimulation (86.11%). No significant difference between learner specialties was observed for situation awareness, decision making, communications and teamwork, or leadership evaluations. Learners reported the simulation realistic, beneficial, and highly instructive.
Realistic, first of kind, clinical simulation scenarios were presented to a neurosurgery/anesthesia resident team who worked together to manage an intraoperative crisis. Learners were effectively trained on crisis management, the importance of communication, and how to develop algorithms for future implementation in difficult scenarios. Learners were highly satisfied with the simulation training experience and requested that it be integrated more consistently into their residency training programs.
Details
- Title: Subtitle
- Crisis Management Simulation: Establishing a Dual Neurosurgery and Anesthesia Training Experience
- Creators
- Jeremy Ciporen - Oregon Health & Science UniversityHaley Gillham - Oregon Health & Science UniversityMichele Noles - Oregon Health & Science UniversityDawn Dillman - Oregon Health & Science UniversityMark Baskerville - Oregon Health & Science UniversityCaleb Haley - Oregon Health & Science UniversityDonn Spight - Oregon Health & Science UniversityRyan C Turner - West Virginia UniversityBrandon P Lucke-Wold - West Virginia University
- Resource Type
- Journal article
- Publication Details
- Journal of neurosurgical anesthesiology, Vol.30(1), pp.65-70
- DOI
- 10.1097/ANA.0000000000000401
- PMID
- 29219894
- ISSN
- 0898-4921
- eISSN
- 1537-1921
- Language
- English
- Date published
- 01/2018
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296140502771
Metrics
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