Abstract Introduction Ultrasound (US) performed prior to percutaneous tracheostomy (PT) may be useful in avoiding injury pretracheal vascular structures and high placement of the tube. Bedside real-time US guidance with visualization needle path is routinely utilized for other procedures such as central venous catheterization, enhance safety accuracy PT without causing airway occlusion or hypercarbia. Our objective was demonstrate that under during tracheal puncture feasible, including...

The value of simulation in medical education and procedural skills training is well recognized. Despite this, many mannequin-based trainers are limited by the inability trainee to view internal anatomical structures. This study evaluates usability feasibility a first-person point-of-view-augmented reality (AR) trainer on needle insertion as component central venous catheter placement.Forty subjects, including students anesthesiology residents faculty, participated. Augmented glasses were...

Abstract Introduction Optic nerve sheath diameter (ONSD) measurement with bedside ultrasound has been shown in many studies to accurately detect high intracranial pressure (ICP). The accuracy of point-in-time ONSD the presence ongoing fluctuation ICP between and normal is not known. Recent laboratory investigation suggests that reversal optic distension may be impaired following bouts hypertension. Our objective was compare setting fluctuating versus stable ICP. Methods This a retrospective...

Early acquisition of critical competencies by novice anesthesiology residents is essential for patient safety, but traditional training methods may be insufficient. The purpose this study was to determine the effectiveness high-fidelity simulation in initial management intraoperative events.Twenty-one participated 6-week study. Three hypoxemia and three hypotension scenarios were developed corresponding checklists validated. Residents tested all at baseline (0 weeks) divided into two groups,...

Effective team communication is crucial for managing medical emergencies like malignant hyperthermia (MH), but current assessment methods fail to capture the dynamic and temporal nature of teamwork processes. The lack reliable measures inform feedback teams likely limiting overall effectiveness simulation training. This study demonstrates application ordered network analysis (ONA) model sequences during simulated MH scenario. Twenty-two anesthesiologists participated in video-recorded...

Pediatric airway emergencies are relatively rare, but have potentially devastating consequences. Simulation based education is important in providing zero-risk management experience for these critical events.The aim of the study was to assess usability and feasibility combined interactive instructional videos a novel Virtual Reality (VR) trainer healthcare professionals evaluate impact this combination on learners' knowledge events children.The population included medical students,...

Abstract Background Despite the advantages of simulation-based training, trainees are typically unable to view internal anatomical structures. This limitation can be overcome by using mixed reality (MR) wherein 3-D virtual images projected. study was designed evaluate efficacy an MR trainer for peripheral intravenous catheter (PIVC) placement. Methods Sixty-two participants used projected arm veins place a PIVC in mannequin arm. Participants were evaluated checklist on their ability...

Given the evolution of competency-based education and evidence supporting benefits incorporating simulation into anesthesiology residency training, will likely play an important role in training assessment residents. Currently, there are little data available regarding current status simulation-based curricula across US programs. In this study, we assessed programs using a survey designed to elicit information type, frequency, content courses offered at 132 Accreditation Council Graduate...

The primary objective of this study was to determine if a 1-hour simulation-based training with interdisciplinary operating room (OR) teams could improve nontechnical skills the providers as assessed by tool (NOTECHS II).Interprofessional otolaryngology OR consisting surgery faculty and resident, anesthesiology nurses, scrub technician, perioperative technician underwent intervention in OR. were rated on their during throughout clinical day following. They also completed self-reflection...

Summary Statement Extended reality (XR)-based simulation training offers unique features that facilitate collection of dynamic behavioral data and increased immersion/realism while providing opportunities for health care professionals on critical events are difficult to recreate in real life. Sequential analysis can be used summarize learning behaviors by discovering hidden patterns terms common or clinical decision-making sequences. This project describes the use sequential examine...

At many academic institutions, anesthesiology residents are responsible for managing emergent intubations outside of the operating room (OOOR), with complications estimated to be as high 39%. In order create an OOOR training curriculum, we evaluated residents' familiarity content and correct adherence American Society Anesthesiologists' Difficult Airway Algorithm (ASA DAA). Residents completed a pre-simulation multiple-choice survey measuring their understanding use DAA. then managed...

While most Direct laryngoscopy leads to dental injury in 25–39% of cases. Dental occurs when the forces and impacts applied teeth exceed ability structures dissipate energy stress. The purpose this study was measure strain, (which is change produced length tooth by a force tooth) strain rate, strain-time integral maxillary incisors determine if they varied experience, type blade, or use an alcohol protective pad (APP). A mannequin head designed teach test intubation instrumented with eight...

Introduction:To assess communication and professionalism, as well technical skills related to patient care, the American Board of Anesthesiology (ABA) has begun administering an Objective Structured Clinical Examination (OSCE) portion APPLIED in addition Standard Oral component.Methods: We created video modules a curriculum for anesthesiology resident OSCE preparation Interpretation Monitors Echocardiography components.The can be used individually by trainees or included part workshop led...

Abstract Background Experiencing clinical catastrophes can result in long‐lasting emotional and psychological impacts. In other fields, crisis simulation has been used to train professionals coping skills. Approach Our workshop combined a simulated case with debrief expert‐led teaching on The ‘4Rs’ mnemonic, Recognise, Reflect, Reframe Reach‐out, describes the key elements. This is grounded social, cognitive behavioural theories of stress coping. Evaluation All 96 anesthesiology residents...

Web-based delivery of educational material by scientific societies appears to have increased recently. However, the utilization such efforts members professional is unknown. We report experience with resources on Web site Society for Neuroscience in Anesthesiology and Critical Care (SNACC), those members.Three web-based initiatives were developed over 1 year be disseminated through SNACC (http://www.snacc.org) society members: (1) The Bibliography; (2) "Chat Author"; (3) Clinical Case...

Background: In the same way that impact factor is calculated for journals, number of citations an article receives can indicate its influence or value to a particular field.This study was designed identify most frequently cited articles in anesthesiology education yield insight into which have been useful researchers ongoing research and publication. Methods:The Web Science database searched capture top-cited both nonanesthesiology journals.Results were sorted by cited.The top 40...

OPEN ACCESSJuly 29, 2021American Board of Anesthesiology Mock Standardized Oral Examination Faculty Development Workshop Lauryn R. Rochlen, MD, Derek T. Woodrum, Lara Zisblatt, EdD, MA, PMME MD https://orcid.org/0000-0003-0273-4799 Clinical Associate Professor, Department Anesthesiology, University Michigan Medical School E-mail Address: [email protected] , Education Specialist, https://doi.org/10.15766/mep_2374-8265.11173 SectionsAboutAbstractPDF ToolsDownload Citations...

Patients presenting with alcohol withdrawal syndrome have an increased risk of perioperative events related to hemodynamic and respiratory instability. We present the case a 49-year-old achondroplastic dwarf in cervical spinal cord injury aortic dissection requiring emergency surgery. Due conflicting management goals, decision was made delay surgery until patient became clinically stable. Additional options might been explored resulted better outcome.

Abstract Background: Despite the advantages of simulation-based training, trainees are typically unable to view internal anatomical structures. This limitation can be overcome by using mixed reality (MR) wherein 3-D virtual images projected. study was designed evaluate efficacy a MR trainer for peripheral intravenous catheter (PIVC) placement. Methods: Sixty-two participants used projected arm veins place PIVC in mannequin arm. Participants were evaluated checklist on their ability...

OPEN ACCESSOctober 14, 2014Respiratory Distress in the Recovery Room Following General Anesthesia for Total Thyroidectomy Lauryn Rochlen, MD University of Michigan Medical School Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9926 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractThis resource is a simulation scenario intended senior and junior anesthesiology residents. It can be used as an independent simulation-based course, or...