Efficiency of high-fidelity simulation-based difficult airways management training of clinical ordinators

It justifies the effectiveness of the use of high-fidelity simulation when training clinical ordinators on the difficult airway management After the theoretical course and obtaining practical skills of airway management, 26 1-st year clinical ordinators were divided into 2 equal groups. The members of the main group took part in each of 4 «difficult airways» scenarios with the use of a human-patient simulator with subsequent debriefing. Then, after 1, 3 and 6 months, the all ordinators from both groups passed one of the «difficult airways» scenarios with the performance assessment by checklists and the assessment of knowledge with multiple choice questions. In the main group, the high level of retained knowledge was revealed for 6 months (after 1 month - 86 points (81,3-91,2); after 6 months - 83,5 points (78,4-88,9); p>0,05). In the control group, the level of knowledge significantly decreased after 6 months (after 1 month - 82,2 points (75,4-89,2); after 6 months - 69 points (60,7-75, 2); p<0,05). Performance assessment during simulated «difficult airways» scenarios after 1, 3 and 6 months showed an insignificant decrease of the score in the main group (after 1 month - 90,5 points (84,3-94,2); after6 months - 85,5 points (80,4-88,9); p>0,05). The control group showed a significant deterioration in the score assessment after 3 months, followed by its growth and the lack of difference between the groups after 6 months. The simulation-based difficult airways management training enhances the performance and retained theoretical knowledges and skills of trainees during simulated «difficult airways» clinical situations up to 6 months.

high-fidelity simulation, education in anesthesia, airways management, difficult airways, nontechnical skills of anesthesiologists, simulation-based education, crisis situation in anesthesiology