JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (37)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rowe, R.
Right arrow Articles by Cohen, R. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rowe, R.
Right arrow Articles by Cohen, R. A.
Related Collections
Right arrow Airway
Right arrow Pediatrics
Right arrow Technology

Anesth Analg 2002;95:62-66
© 2002 International Anesthesia Research Society


PEDIATRIC ANESTHESIA

An Evaluation of a Virtual Reality Airway Simulator

Richard Rowe, MD, MPH*{ddagger}, and Ronald A. Cohen, MD{dagger}§

Departments of *Anesthesiology and {dagger}Diagnostic Imaging, Children’s Hospital Oakland, Oakland; and Departments of {ddagger}Anesthesiology and §Radiology, University of California, San Francisco School of Medicine, San Francisco, California

Address correspondence and reprint requests to Dr. Richard Rowe, Department of Anesthesiology, Children’s Hospital Oakland, Oakland, CA 94609. Address e-mail to cho.dr.rwr{at}cho.org

In this research, we sought to test the hypothesis that the AccuTouch® Flexible Bronchoscopy Simulator (Simulator) is an effective way to teach clinicians the psychomotor skills necessary to use the fiberoptic bronchoscope as an instrument for intubating the trachea of a pediatric patient. Pediatric residents with no prior experience in fiberoptic bronchoscopy were studied. Residents performed fiberoptic intubation on children undergoing general anesthesia. Tapes of these intubations were analyzed for: time to visualization of the carina, and number and time that the bronchoscope tip hit the mucosa. Residents were then trained on the Simulator. Performance of fiberoptic intubation on a subsequent child was compared. Training on the Simulator was the only instruction that the residents received between the two cases. A control group of residents performed two consecutive intubations without training on the Simulator between cases. Residents studied an average of 17 cases, and spent 39 min on the Simulator. Performance was markedly improved after the Simulator. Time to completion of successful intubation with a bronchoscope was reduced from 5.15 to 0.88 min (P < 0.001). The number of times that the tip of the bronchoscope hit the mucosa was reduced from 21.4 to 3.0 (P < 0.001). The amount of time that the resident spent viewing the mucosa decreased from 2.24 to 0.19 min (P < 0.001). The percent of time viewing the channel of the airway increased from 58.5% to 80.4% (P = 0.004). This bronchoscopy simulator was very effective in teaching residents the psychomotor skills necessary for fiberoptic intubation. Significant improvement was seen in time to completion of endotracheal intubation, as well as other performance indicators.

IMPLICATIONS: This research showed that the AccuTouch® Bronchoscopy Simulator is an effective way to teach the psychomotor skills necessary to intubate the trachea of patients using a fiberoptic bronchoscope. The residents that practiced on the Simulator dramatically improved their skills compared with a control group of residents.




This article has been cited by other articles:


Home page
J Intensive Care MedHome page
G. K. Lighthall and J. Barr
The Use of Clinical Simulation Systems to Train Critical Care Physicians
J Intensive Care Med, September 1, 2007; 22(5): 257 - 269.
[Abstract] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
Y. Hu and R. A. Malthaner
The feasibility of three-dimensional displays of the thorax for preoperative planning in the surgical treatment of lung cancer
Eur. J. Cardiothorac. Surg., March 1, 2007; 31(3): 506 - 511.
[Abstract] [Full Text] [PDF]


Home page
PediatricsHome page
American Academy of Pediatrics, American Academy of Pediatric Dentistry, C. J. Cote, S. Wilson, and the Work Group on Sedation
Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures: An Update
Pediatrics, December 1, 2006; 118(6): 2587 - 2602.
[Abstract] [Full Text] [PDF]


Home page
SEMIN CARDIOTHORAC VASC ANESTHHome page
C. L. Lake
Simulation in Cardiothoracic and Vascular Anesthesia Education: Tool or Toy?
Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2005; 9(4): 265 - 273.
[Abstract] [PDF]


Home page
SEMIN CARDIOTHORAC VASC ANESTHHome page
M. P. Eason
Simulation Devices in Cardiothoracic and Vascular Anesthesia
Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2005; 9(4): 309 - 323.
[Abstract] [PDF]


Home page
NeurologyHome page
J. J. Connors III, D. Sacks, A. J. Furlan, W. R. Selman, E. J. Russell, P. E. Stieg, M. N. Hadley, and for the NeuroVascular Coalition Writing Group
Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention: A Joint Statement from the American Academy of Neurology, the American Association of Neurological Surgeons, the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, the Congress of Neurological Surgeons, the AANS/CNS Cerebrovascular Section, and the Society of Interventional Radiology
Neurology, January 25, 2005; 64(2): 190 - 198.
[Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
C. M. Jones and T. Athanasiou
Is Virtual Bronchoscopy an Efficient Diagnostic Tool for the Thoracic Surgeon?
Ann. Thorac. Surg., January 1, 2005; 79(1): 365 - 374.
[Abstract] [Full Text] [PDF]


Home page
RadiologyHome page
J. J. Connors III, D. Sacks, A. J. Furlan, W. R. Selman, E. J. Russell, P. E. Stieg, M. N. Hadley, and For the NeuroVascular Coalition Writing Group
Training, Competency, and Credentialing Standards for Diagnostic Cervicocerebral Angiography, Carotid Stenting, and Cerebrovascular Intervention: A Joint Statement from the American Academy of Neurology, American Association of Neurological Surgeons, American Society of Interventional and Therapeutic Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, AANS/CNS Cerebrovascular Section, and Society of Interventional Radiology
Radiology, January 1, 2005; 234(1): 26 - 34.
[Full Text] [PDF]


Home page
Anesth. Analg.Home page
K. M. Martin, P. D. Larsen, R. Segal, and C. P. Marsland
Effective Nonanatomical Endoscopy Training Produces Clinical Airway Endoscopy Proficiency
Anesth. Analg., September 1, 2004; 99(3): 938 - 944.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. G. Blum, T. W. Powers, and S. Sundaresan
Bronchoscopy simulator effectively prepares junior residents to competently perform basic clinical bronchoscopy
Ann. Thorac. Surg., July 1, 2004; 78(1): 287 - 291.
[Abstract] [Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.