Establishment And Evaluation Of Simulation Training System For Difficult Airway Management (DAM) In Anesthesia

Purpose:Using the advanced medical simulation equipment and following the update difficult airway management algorithm combined with the professional knowledge, we intend to establish a simulation training system for difficult airway management (DAM) in anesthesia. The goal is to improve the trainee’s practice ability and enhance the concept of clinical practice to follow the update guidelines of DAM, ultimately to increase the quality of patient care and patient safety.Methods:1. Establishment of the simulation training system for DAMBased on anesthesia professional knowledge and the latest difficult airway management (DAM) algorithm, we used the advanced medical simulation equipment to have successfully established the frame structure and evaluation method for DAM in anesthesia using a simulation system.2.Evaluation the feasibility and effectiveness of the anesthesia difficult airway management simulation training system through practice.2.Evaluation of the feasibility and effectiveness for DAM simulation system60anesthesia residents were selected for testing the DAM competency in the simulation system. The residents have reviewed the DAM algorithm but never practiced on the simulation system. They will run four case scenarios according to the actual clinical cases in the simulator with the programmed DAM simulation training system before training except being familiar with how to operate the simulation properly (Baseline-test group), after difficult airway management training, they will then re-take another four case scenarios (Post-training test group) with the DAM simulation system. The performance will be video-recorded for later review and the instructor directed the test on site will give a score and comments after each test. Both groups (Baseline-test and Post-training test) will be compared and statistical analysis will be generated.Results:The pass rate of Post-training test were significantly better than the pass rate of Baseline-test before difficult airway management simulation training.(P<0.05)Conclusion:There is no reliable methodology to study how anesthesia personnel to follow with DAM guidelines, the well-structured simulation training system for difficult airway management (DAM) in anesthesia has provided an objective tool in both measuring and validating this competency in DAM and shown an effective training tool for practitioners to improve the ability of handling the difficult airway and follow the update DAM guidelines. Widespread incorporation of this simulation training system in DAM will significantly increase the quality of patient care and patient safety and improve the ability of handling the difficult airway and clinical ability.