Basic simulations for anaesthetists. A pilot study of the ACCESS system.

作者: A. J. BYRNE , P. J. HILTON , J. N. LUNN

DOI: 10.1111/J.1365-2044.1994.TB03466.X

关键词: Capital expenditureMedian timeMedicineMedical emergencyUse of timeTest (assessment)MicrocomputerAnesthesia

摘要: Summary This paper describes the design and initial testing of ACCESS (Anaesthetic Computer Controlled Emergency Situation Simulator) system, which has been designed to simulate anaesthetic emergencies with aim providing training for junior doctors. The simulations require little or no capital expenditure minimal use time by staff trainees. They are based on standard equipment, a microcomputer an image commonly used instruments. Problems presented as scenarios administered teacher, test skills pupil. During 64 scenarios, five trainees caused two‘deaths’and solved problems in median of2.5min, while experienced group anaesthetists one‘death’and took 1.8 min. simulation was rated pupils easy use, realistic valuable educational tool.

参考文章(9)
George H. Buck, Development of simulators in medical education. Gesnerus. ,vol. 48, pp. 7- 28 ,(1991) , 10.1163/22977953-04801002
J. S. Denson, A Computer-Controlled Patient Simulator JAMA: The Journal of the American Medical Association. ,vol. 208, pp. 504- 508 ,(1969) , 10.1001/JAMA.1969.03160030078009
M. L. Good, Anaesthesia simulators and training devices Anaesthesia. ,vol. 45, pp. 525- 526 ,(1990) , 10.1111/J.1365-2044.1990.TB14822.X
Howard A. Schwid, Daniel O'Donnell, Educational computer simulation of malignant hyperthermia Journal of Clinical Monitoring and Computing. ,vol. 8, pp. 201- 208 ,(1992) , 10.1007/BF01616777
Howard A. Schwid, A flight simulator for general anesthesia training Computers and Biomedical Research. ,vol. 20, pp. 64- 75 ,(1987) , 10.1016/0010-4809(87)90019-X
J S Gravenstein, Training devices and simulators. Anesthesiology. ,vol. 69, pp. 295- ,(1988)
Swank Km, Jahr Js, The uses of simulation in anesthesiology training: a review of the current literature. The Journal of the Louisiana State Medical Society. ,vol. 144, pp. 523- ,(1992)