Identificador: TDX:3392
Autors: FARRÉ NEBOT, VIOLETA
Resum:
Clinical simulation plays an important role in the Health Sciences.
We present two examples of the use of clinical simulation:
One related to education, in which we modified a normal airway management manikin to be able to train the management of difficult airway situations and compared it with another manikin marketed with these features.
In a second study, we evaluated the behavior of five gastric channel supraglottic devices (SGDs) on a modified mouth-opening limitation manikin.
First article
Eight anesthesiologists performed 10 consecutive orotracheal intubations (OTI) in each of the four situations, normal airway, macroglossia, cervical spine rigidity and combination of both situations, with each of the two manikins in the study.
The manikins used were: Airway Management Trainer (AMT®, Ambu, Denmark) modified (case manikin) and Airsim® (Airsim, Trucorp, Northern Ireland) (control manikin).
We evaluated the time in visualizing the glottis, the time in performing the OTI and the degree of difficulty of the OTI.
We found no statistically significant differences between the two manikins. The case dummy turned out to be more difficult.
The proposed variations on the case manikin show similar performances as the control manikin.
Second article
Thirty-six anesthesiologists inserted five DSGs (LMA ProSeal, LMA Supreme, I-gel, AuraGain and Baska Mask) at decreasing inter-incisive distances (DI) of 30, 25, 20, 15 and 10 mm into the modified AMT® manikin.
We evaluated the insertion with correct ventilation at each DI for each DSG, number of insertion attempts, insertion time and ease of insertion evaluated by the participant and an observer.
The LMA Supreme would be the choice in DI up to 10mm, the LMA ProSeal and the AuraGain would be useful in DI ≥ 15mm and the I-gel in DI ≥ 20mm. The Baska Mask would not be recommended in case of mouth opening limitation.
Repositori URV