Key result
Cardiothoracic anesthesia simulation improves manual and cognitive skills for managing rare critical events.
Why the study?
Traditional apprenticeship learning may not adequately cover the leadership and problem-solving skills needed during rare, high-stakes critical events in cardiothoracic anaesthesia.
Simulation is a valuable educational tool in cardiothoracic anaesthesia to compensate for decreased exposure to real-life critical events.
Supports simulation training to offset reduced critical event exposure; leaves open optimal modalities and outcome validation.
Simulation permeated healthcare curricula and has become a powerful teaching tool to improve manual and cognitive skills in medicine today. Amongst other skill sets, cardiothoracic anaesthetists are expected to make safe life-saving decisions to improve patient outcome during rare critical events. These stressful situations require leadership and problem solving skills from all medical personnel, which traditional learning by “apprenticeship” may not cover. This narrative review looks at current simulation modalities used in cardiothoracic anaesthesia, which include critical scenarios for the placement of arterial and central venous lines, as well as the interpretation of the pulmonary artery catheter derived data. Simulation in transthoracic and transoesophageal echocardiography has proven to be very useful. Of particular importance in cardiothoracic clinical practice is simulation for cardiopulmonary bypass, veno-arterial and veno-venous extracorporeal membrane oxygenation. Trainees’ working hour regulations may affect patient safety, because of decreased exposure to real life patient-related scenarios. The complexity of patient interventions in a high-stakes discipline like cardiothoracic anaesthesia may necessitate the development of further simulation-enhanced educational processes.
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Berger‐Estilita et al. (2023) conducted a review in Cardiothoracic anaesthesia. Simulation modalities was evaluated. Simulation modalities in cardiothoracic anaesthesia serve as powerful teaching tools to improve manual and cognitive skills for managing rare critical events and complex patient interventions.
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