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Maurya I, Ahmed SM, Garg R. Simulation in airway management teaching and training. Indian J Anaesth 2024; 68:52-57. [PMID: 38406347 PMCID: PMC10893796 DOI: 10.4103/ija.ija_1234_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 12/25/2023] [Accepted: 12/31/2023] [Indexed: 02/27/2024] Open
Abstract
There is a gradual shift in training and teaching methods in the medical field. We are slowly moving from the traditional model and adopting active learning methods like simulation-based training. Airway management is an essential clinical skill for any anaesthesiologist, and a trained anaesthesiologist must perform quick and definitive airway management using various techniques. Airway simulations have been used for the past few decades. It ensures active involvement, upgrading the trainees' airway management knowledge and skills, including basic airway skills, invasive procedures, and difficult clinical scenarios. Trainees also learn non-technical skills such as communication, teamwork, and coordination. A wide range of airway simulators are available. However, texture surface characteristics vary from one type to another. The simulation-based airway management training requires availability, understanding, faculty development, and a structured curriculum for effective delivery. This article explored the available evidence on simulation-based airway management teaching and training.
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Affiliation(s)
- Indubala Maurya
- Department of Anaesthesiology, Kalyan Singh Super Specialty Cancer Institute, Lucknow, Uttar Pradesh, India
| | - Syed M. Ahmed
- Department of Anaesthesiology and Critical Care, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
| | - Rakesh Garg
- Department of Onco-Anaesthesia, Pain and Palliative Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
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Dorsett M, Panchal AR, Stephens C, Farcas A, Leggio W, Galton C, Tripp R, Grawey T. Prehospital Airway Management Training and Education: An NAEMSP Position Statement and Resource Document. PREHOSP EMERG CARE 2022; 26:3-13. [PMID: 35001822 DOI: 10.1080/10903127.2021.1977877] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
AbstractAirway management competency extends beyond technical skills to encompass a comprehensive approach to optimize patient outcomes. Initial and continuing education for airway management must therefore extend beyond a narrow focus on psychomotor skills and task completion to include appreciation of underlying pathophysiology, clinical judgment, and higher-order decision making. NAEMSP recommends:Active engagement in deliberate practice should be the guiding approach for developing and maintaining competence in airway management.EMS learners and clinicians must be educated in an escalating approach to airway management, where basic airway maneuvers form the central focus.Educational activities should extend beyond fundamental knowledge to focus on the development of clinical judgment.Optimization of patient outcomes should be valued over performance of individual airway management skills.Credentialing and continuing education activities in airway management are essential to advance clinicians beyond entry-level competency.Initial and continuing education programs should be responsive to advances in the evidence base and maintain adaptability to re-assess content and expected outcomes on a continual basis.
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Affiliation(s)
- Maia Dorsett
- Received August 10, 2021 from Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY (MD); Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (ARP); Departments of Anesthesiology and Emergency Medicine, UTHealth McGovern Medical School, Houston, TX (CS); Department of Emergency Medicine, University of California San Diego (UCSD) San Diego California USA, San Diego, CA (AF); Office of the Chief Medical Officer, Austin-Travis County EMS, Austin, TX (WL); Departments of Anesthesiology and Emergency Medicine, University of Rochester Medical Center, Rochester, NY (CG); Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA (RT); Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI (TG). Revision received August 31, 2021; accepted for publication September 3, 2021
| | - Ashish R Panchal
- Received August 10, 2021 from Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY (MD); Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (ARP); Departments of Anesthesiology and Emergency Medicine, UTHealth McGovern Medical School, Houston, TX (CS); Department of Emergency Medicine, University of California San Diego (UCSD) San Diego California USA, San Diego, CA (AF); Office of the Chief Medical Officer, Austin-Travis County EMS, Austin, TX (WL); Departments of Anesthesiology and Emergency Medicine, University of Rochester Medical Center, Rochester, NY (CG); Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA (RT); Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI (TG). Revision received August 31, 2021; accepted for publication September 3, 2021
| | - Christopher Stephens
- Received August 10, 2021 from Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY (MD); Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (ARP); Departments of Anesthesiology and Emergency Medicine, UTHealth McGovern Medical School, Houston, TX (CS); Department of Emergency Medicine, University of California San Diego (UCSD) San Diego California USA, San Diego, CA (AF); Office of the Chief Medical Officer, Austin-Travis County EMS, Austin, TX (WL); Departments of Anesthesiology and Emergency Medicine, University of Rochester Medical Center, Rochester, NY (CG); Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA (RT); Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI (TG). Revision received August 31, 2021; accepted for publication September 3, 2021
| | - Andra Farcas
- Received August 10, 2021 from Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY (MD); Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (ARP); Departments of Anesthesiology and Emergency Medicine, UTHealth McGovern Medical School, Houston, TX (CS); Department of Emergency Medicine, University of California San Diego (UCSD) San Diego California USA, San Diego, CA (AF); Office of the Chief Medical Officer, Austin-Travis County EMS, Austin, TX (WL); Departments of Anesthesiology and Emergency Medicine, University of Rochester Medical Center, Rochester, NY (CG); Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA (RT); Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI (TG). Revision received August 31, 2021; accepted for publication September 3, 2021
| | - William Leggio
- Received August 10, 2021 from Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY (MD); Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (ARP); Departments of Anesthesiology and Emergency Medicine, UTHealth McGovern Medical School, Houston, TX (CS); Department of Emergency Medicine, University of California San Diego (UCSD) San Diego California USA, San Diego, CA (AF); Office of the Chief Medical Officer, Austin-Travis County EMS, Austin, TX (WL); Departments of Anesthesiology and Emergency Medicine, University of Rochester Medical Center, Rochester, NY (CG); Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA (RT); Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI (TG). Revision received August 31, 2021; accepted for publication September 3, 2021
| | - Christopher Galton
- Received August 10, 2021 from Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY (MD); Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (ARP); Departments of Anesthesiology and Emergency Medicine, UTHealth McGovern Medical School, Houston, TX (CS); Department of Emergency Medicine, University of California San Diego (UCSD) San Diego California USA, San Diego, CA (AF); Office of the Chief Medical Officer, Austin-Travis County EMS, Austin, TX (WL); Departments of Anesthesiology and Emergency Medicine, University of Rochester Medical Center, Rochester, NY (CG); Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA (RT); Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI (TG). Revision received August 31, 2021; accepted for publication September 3, 2021
| | - Rickquel Tripp
- Received August 10, 2021 from Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY (MD); Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (ARP); Departments of Anesthesiology and Emergency Medicine, UTHealth McGovern Medical School, Houston, TX (CS); Department of Emergency Medicine, University of California San Diego (UCSD) San Diego California USA, San Diego, CA (AF); Office of the Chief Medical Officer, Austin-Travis County EMS, Austin, TX (WL); Departments of Anesthesiology and Emergency Medicine, University of Rochester Medical Center, Rochester, NY (CG); Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA (RT); Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI (TG). Revision received August 31, 2021; accepted for publication September 3, 2021
| | - Tom Grawey
- Received August 10, 2021 from Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY (MD); Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (ARP); Departments of Anesthesiology and Emergency Medicine, UTHealth McGovern Medical School, Houston, TX (CS); Department of Emergency Medicine, University of California San Diego (UCSD) San Diego California USA, San Diego, CA (AF); Office of the Chief Medical Officer, Austin-Travis County EMS, Austin, TX (WL); Departments of Anesthesiology and Emergency Medicine, University of Rochester Medical Center, Rochester, NY (CG); Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA (RT); Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI (TG). Revision received August 31, 2021; accepted for publication September 3, 2021
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