Skip to main content
SpringerLink
Log in

Simulation in Anesthesiology

  • Chapter
  • First Online:
The Comprehensive Textbook of Healthcare Simulation

Abstract

The specialty of anesthesiology has been at the forefront of healthcare simulation from its development and early applications to pioneering simulation for residency training requirements and maintenance of specialty board status. As such, the specialty of anesthesiology has a rich and mature experience with simulation. In this chapter we will explore the application of simulation to the field of anesthesiology with regard to training, assessment, and maintenance of competence. Given the specialty’s extensive experience, much of the chapter will be devoted to the “art” of simulation with a detailed discussion of scenario, course, and curricular development.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Gaba DM. What makes a “good” anesthesiologist? Anesthesiology. 2004;101(5):1061–3.

    PubMed  Google Scholar 

  2. Larsson J, Holmström I, Rosenqvist U. Professional artist, good Samaritan, servant and co-ordinator: four ways of understanding the anaesthetist’s work. Acta Anaesthesiol Scand. 2003;47(7):787–93.

    CAS  PubMed  Google Scholar 

  3. Sandberg J. Understanding human competence at work: an interpretative approach. Acad Manag J. 2000;43(1):9–25.

    Google Scholar 

  4. Dornan T. Osler, Flexner, apprenticeship and ‘the new medical education’. J R Soc Med. 2005;98(3):91–5.

    PubMed Central  PubMed  Google Scholar 

  5. Fernandez E, Williams DG. Training and the European working time directive: a 7 year review of paediatric anaesthetic trainee caseload data. Br J Anaesth. 2009;103(4):566–9.

    CAS  PubMed  Google Scholar 

  6. Bowhay AR. An investigation into how the European Working Time Directive has affected anaesthetic training. BMC Med Educ. 2008;8:41.

    PubMed Central  PubMed  Google Scholar 

  7. Henrichs BM, Avidan MS, Murray DJ, et al. Performance of certified registered nurse anesthetists and anesthesiologists in a simulation-based skills assessment. Anesth Analg. 2009;108(1):255–62.

    PubMed  Google Scholar 

  8. Fehr JJ, Boulet JR, Waldrop WB, Snider R, Brockel M, Murray DJ. Simulation-based assessment of pediatric anesthesia skills. Anesthesiology. 2011;115(6):1308–15.

    PubMed  Google Scholar 

  9. Dijksterhuis MGK, Voorhuis M, Teunissen PW, et al. Assessment of competence and progressive independence in postgraduate clinical training. Med Educ. 2009;43(12):1156–65.

    PubMed  Google Scholar 

  10. Frank JR, Snell LS, Cate OT, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638–45.

    PubMed  Google Scholar 

  11. ACGME. Simulation: New Revision to Program Requirements. RRC News for Anesthesiology. 2011:6. http://www.acgme.org/acWebsite/RRC_040_news/Anesthesiology_Newsletter_Mar11.pdf. Accessed 30 Apr 2012.

  12. Maintenance of Certification in Anesthesiology (MOCA). 2012. Description of MOCA requirements by the ABA. http://theaba.org/Home/anesthesiology_maintenance. Accessed 19 Mar 2012.

  13. Boulet JR, Murray DJ. Simulation-based assessment in anesthesiology: requirements for practical implementation. Anesthesiology. 2010;112(4):1041–52.

    PubMed  Google Scholar 

  14. Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296(9):1094–102.

    CAS  PubMed  Google Scholar 

  15. Hodges B, Regehr G, Martin D. Difficulties in recognizing one’s own incompetence: novice physicians who are unskilled and unaware of it. Acad Med. 2001;76(10 Supplement):S87–9.

    CAS  PubMed  Google Scholar 

  16. Weller JM, Robinson BJ, Jolly B, et al. Psychometric characteristics of simulation-based assessment in anaesthesia and accuracy of self-assessed scores. Anaesthesia. 2005;60(3):245–50.

    CAS  PubMed  Google Scholar 

  17. Plant JL, Corden M, Mourad M, O’Brien BC, van Schaik SM. Understanding self-assessment as an informed process: residents’ use of external information for self-assessment of performance in simulated resuscitations. Adv Health Sci Educ. 2012:17(1):1–12.

    Google Scholar 

  18. Wenk M, Waurick R, Schotes D, Gerdes C, Van Aken HK, Pöpping DM. Simulation-based medical education is no better than problem-based discussions and induces misjudgment in self-assessment. Adv Health Sci Educ. 2009;14(2):159–71.

    Google Scholar 

  19. Cook DA. One drop at a time: research to advance the science of simulation. Simul Healthc. 2010;5(1):1–4.

    PubMed  Google Scholar 

  20. Diedrich DA, personal communication. 2012:Consultant, Mayo Clinic Department of Anesthesia and Critical Care.

    Google Scholar 

  21. Naik VN, Matsumoto ED, Houston PL, et al. Fiberoptic orotracheal intubation on anesthetized patients: do manipulation skills learned on a simple model transfer into the operating room? Anesthesiology. 2001;95(2):343–8.

    CAS  PubMed  Google Scholar 

  22. Crabtree NA, Chandra DB, Weiss ID, Joo HS, Naik VN. Fibreoptic airway training: correlation of simulator performance and clinical skill. Can J Anesth. 2008;55(2):100–4.

    PubMed  Google Scholar 

  23. Toronto Uo. Bronchoscopy Simulator. http://www.thoracic-anesthesia.com/?page_id=2. Accessed 29 May 2012.

  24. Leighton BL. A greengrocer’s model of the epidural space. Anesthesiology. 1989;70(2):368–9.

    CAS  PubMed  Google Scholar 

  25. Issenberg SB, McGaghie WC, Petrusa ER, Gordon DL, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review*. Med Teach. 2005;27(1):10–28.

    PubMed  Google Scholar 

  26. Boet S, Bould MD, Bruppacher HR, Desjardins F, Chandra DB, Naik VN. Looking in the mirror: self-debriefing versus instructor debriefing for simulated crises. Crit Care Med. 2011;39(6):1377–81.

    PubMed  Google Scholar 

  27. Savoldelli GL, Naik VN, Park J, Joo HS, Chow R, Hamstra SJ. Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology. 2006;105(2):279–85.

    PubMed  Google Scholar 

  28. Byrne AJ, Sellen AJ, Jones JG, et al. Effect of videotape feedback on anaesthetists’ performance while managing simulated anaesthetic crises: a multicentre study. Anaesthesia. 2002;57(2):176–9.

    CAS  PubMed  Google Scholar 

  29. Cumin D, Merry AF. Simulators for use in anaesthesia. Anaesthesia. 2007;62(2):151–62.

    CAS  PubMed  Google Scholar 

  30. Bryson EO, Levine AI. The simulation theater: a theoretical discussion of concepts and constructs that enhance learning. J Crit Care. 2008;23(2):185–7.

    PubMed  Google Scholar 

  31. Byrne AJ, Jones JG. Responses to simulated anaesthetic emergencies by anaesthetists with different durations of clinical experience. Br J Anaesth. 1997;78(5):553–6.

    CAS  PubMed  Google Scholar 

  32. DeAnda A, Gaba DM. Role of experience in the response to simulated critical incidents. Anesth Analg. 1991;72(3):308–15.

    CAS  PubMed  Google Scholar 

  33. Kurrek MM, Devitt JH, Cohen M. Cardiac arrest in the OR: how are our ACLS skills? Can J Anaesth. 1998;45(2):130–2.

    CAS  PubMed  Google Scholar 

  34. Larson ER, Nuttall GA, Ogren BD, et al. A prospective study on anesthesia machine fault identification. Anesth Analg. 2007;104(1):154–6.

    PubMed  Google Scholar 

  35. Ben-Menachem E, Ezri T, Ziv A, Sidi A, Berkenstadt H. Identifying and managing technical faults in the anesthesia machine: lessons learned from the Israeli Board of Anesthesiologists. Anesth Analg. 2011;112(4):864–6.

    PubMed  Google Scholar 

  36. Lorraway PG, Savoldelli GL, Joo HS, Chandra DB, Chow R, Naik VN. Management of simulated oxygen supply failure: is there a gap in the curriculum? Anesth Analg. 2006;102(3):865–7.

    PubMed  Google Scholar 

  37. Chiu M, Arab AA, Elliott R, Naik VN. An experiential teaching session on the anesthesia machine check improves resident performance. Can J Anaesth. 2012;59:280–7.

    PubMed  Google Scholar 

  38. Fischler IS, Kaschub CE, Lizdas DE, Lampotang S. Understanding of anesthesia machine function is enhanced with a transparent reality simulation. Simul Healthc. 2008;3(1):26–32.

    PubMed  Google Scholar 

  39. Fletcher G, Flin R, McGeorge P, Glavin R, Maran N, Patey R. Anaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth. 2003;90(5):580–8.

    CAS  PubMed  Google Scholar 

  40. Flin R, Patey R. Non-technical skills for anaesthetists: developing and applying ANTS. Best Pract Res Clin Anaesthesiol. 2011;25(2):215–27.

    PubMed  Google Scholar 

  41. ANTS – A Behavioural Marker System for Rating Anaesthetists’ Non-Technical Skills. Industrial Psychology Research Center, University of Aberdeen. 2011; http://www.abdn.ac.uk/iprc/ants/. Accessed 22 Mar 2012.

  42. Flin R, Patey R, Glavin R, Maran N. Anaesthetists’ non-technical skills. Br J Anaesth. 2010;105(1):38–44.

    CAS  PubMed  Google Scholar 

  43. Quality AHRQ. TeamSTEPPS: National Implementation. 2012; http://teamstepps.ahrq.gov/. Accessed 22 Apr 2012.

  44. Malec JF, Torsher LC, Dunn WF, et al. The Mayo high performance teamwork scale: reliability and validity for evaluating key crew resource management skills. Simul Healthc. 2007;2(1):4–10.

    PubMed  Google Scholar 

  45. Johnson KB, Syroid ND, Drews FA, et al. Part task and variable priority training in first-year anesthesia resident education: a combined didactic and simulation-based approach to improve management of adverse airway and respiratory events. Anesthesiology. 2008;108(5):831–40.

    PubMed  Google Scholar 

  46. Pott LM, Randel GI, Straker T, Becker KD, Cooper RM. A survey of airway training among U.S. and Canadian anesthesiology residency programs. J Clin Anesth. 2011;23(1):15–26.

    PubMed  Google Scholar 

  47. Clarke RC, Gardner AI. Anaesthesia trainees’ exposure to airway management in an Australian tertiary adult teaching hospital. Anaesth Intensive Care. 2008;36(4):513–5.

    CAS  PubMed  Google Scholar 

  48. Kory PD, Eisen LA, Adachi M, Ribaudo VA, Rosenthal ME, Mayo PH. Initial airway management skills of senior residents: simulation training compared with traditional training. Chest. 2007;132(6):1927–31.

    PubMed  Google Scholar 

  49. Rosenthal ME, Adachi M, Ribaudo V, Mueck JT, Schneider RF, Mayo PH. Achieving housestaff competence in emergency airway management using scenario based simulation training: comparison of attending vs housestaff trainers. Chest. 2006;129(6):1453–8.

    PubMed  Google Scholar 

  50. Kovacs G, Bullock G, Ackroyd-Stolarz S, Cain E, Petrie D. A randomized controlled trial on the effect of educational interventions in promoting airway management skill maintenance. Ann Emerg Med. 2000;36(4):301–9.

    CAS  PubMed  Google Scholar 

  51. Batchelder AJ, Steel A, Mackenzie R, Hormis AP, Daniels TS, Holding N. Simulation as a tool to improve the safety of pre-hospital anaesthesia – a pilot study. Anaesthesia. 2009;64(9):978–83.

    CAS  PubMed  Google Scholar 

  52. Frengley RW, Weller JM, Torrie J, et al. The effect of a simulation-based training intervention on the performance of established critical care unit teams. Crit Care Med. 2011;39(12):2605–11.

    PubMed  Google Scholar 

  53. Chen PT, Huang YC, Cheng HW, et al. New simulation-based airway management training program for junior physicians: Advanced Airway Life Support. Med Teach. 2009;31(8):e338–44.

    PubMed  Google Scholar 

  54. Mayo PH, Hegde A, Eisen LA, Kory P, Doelken P. A program to improve the quality of emergency endotracheal intubation. J Intensive Care Med. 2011;26(1):50–6.

    PubMed  Google Scholar 

  55. Sudikoff SN, Overly FL, Shapiro MJ. High-fidelity medical simulation as a technique to improve pediatric residents’ emergency airway management and teamwork: a pilot study. Pediatr Emerg Care. 2009;25(10):651–6.

    PubMed  Google Scholar 

  56. Nishisaki A, Donoghue AJ, Colborn S, et al. Effect of just-in-time simulation training on tracheal intubation procedure safety in the pediatric intensive care unit. Anesthesiology. 2010;113(1):214–23.

    PubMed  Google Scholar 

  57. Kuduvalli PM, Jervis A, Tighe SQM, Robin NM. Unanticipated difficult airway management in anaesthetised patients: a prospective study of the effect of mannequin training on management strategies and skill retention. Anaesthesia. 2008;63(4):364–9.

    CAS  PubMed  Google Scholar 

  58. Russo SG, Eich C, Barwing J, et al. Self-reported changes in attitude and behavior after attending a simulation-aided airway management course. J Clin Anesth. 2007;19(7):517–22.

    PubMed  Google Scholar 

  59. Borges BCR, Boet S, Siu LW, et al. Incomplete adherence to the ASA difficult airway algorithm is unchanged after a high-fidelity simulation session. Can J Anaesth. 2010;57(7):644–9.

    PubMed  Google Scholar 

  60. Olympio MA, Whelan R, Ford RPA, Saunders ICM. Failure of simulation training to change residents’ management of oesophageal intubation. Br J Anaesth. 2003;91(3):312–8.

    CAS  PubMed  Google Scholar 

  61. Boet S, Borges BCR, Naik VN, et al. Complex procedural skills are retained for a minimum of 1 yr after a single high-fidelity simulation training session. Br J Anaesth. 2011;107(4):533–9.

    CAS  PubMed  Google Scholar 

  62. Siu LW, Boet S, Borges BCR, et al. High-fidelity simulation demonstrates the influence of anesthesiologists’ age and years from residency on emergency cricothyroidotomy skills. Anesth Analg. 2010;111(4):955–60.

    PubMed  Google Scholar 

  63. Boet S, Bould MD, Schaeffer R, et al. Learning fibreoptic intubation with a virtual computer program transfers to ‘hands on’ improvement. Eur J Anaesthesiol. 2010;27(1):31–5.

    PubMed  Google Scholar 

  64. Park CS, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. Anesthesiology. 2010;112(1):202–11.

    PubMed  Google Scholar 

  65. Smith HM, Kopp SL, Jacob AK, Torsher LC, Hebl JR. Designing and implementing a comprehensive learner-centered regional anesthesia curriculum. Reg Anesth Pain Med. 2009;34(2):88–94.

    PubMed  Google Scholar 

  66. Tan JS, Chin KJ, Chan VWS. Developing a training program for peripheral nerve blockade: the “nuts and bolts”. Int Anesthesiol Clin. 2010;48(4):1–11.

    PubMed  Google Scholar 

  67. Kessler DO, Auerbach M, Pusic M, Tunik MG, Foltin JC. A randomized trial of simulation-based deliberate practice for infant lumbar puncture skills. Simul Healthc. 2011;6(4):197–203.

    PubMed  Google Scholar 

  68. Friedman Z, Siddiqui N, Katznelson R, Devito I, Bould MD, Naik V. Clinical impact of epidural anesthesia simulation on short- and long-term learning curve: high- versus low-fidelity model training. Reg Anesth Pain Med. 2009;34(3):229–32.

    PubMed  Google Scholar 

  69. Kulcsár ZM, Lövquist E, Fitzgerald AP, Aboulafia A, Shorten GD. Testing haptic sensations for spinal anesthesia. Reg Anesth Pain Med. 2011;36(1):12–6.

    PubMed  Google Scholar 

  70. Magill JC, Byl MF, Hinds MF, Agassounon W, Pratt SD, Hess PE. A novel actuator for simulation of epidural anesthesia and other needle insertion procedures. Simul Healthc. 2010;5(3):179–84.

    PubMed Central  PubMed  Google Scholar 

  71. Niazi AU, Haldipur N, Prasad AG, Chan VW. Ultrasound-guided regional anesthesia performance in the early learning period: effect of simulation training. Reg Anesth Pain Med. 2012;37(1):51–4.

    PubMed  Google Scholar 

  72. Cheung JJH, Chen EW, Al-Allaq Y, et al. Acquisition of technical skills in ultrasound-guided regional anesthesia using a high-fidelity simulator. Stud Health Techol Inform. 2011;163:119–24.

    Google Scholar 

  73. Grottke O, Ntouba A, Ullrich S, et al. Virtual reality-based simulator for training in regional anaesthesia. Br J Anaesth. 2009;103(4):594–600.

    CAS  PubMed  Google Scholar 

  74. Smith HM, Jacob AK, Segura LG, Dilger JA, Torsher LC. Simulation education in anesthesia training: a case report of successful resuscitation of bupivacaine-induced cardiac arrest linked to recent simulation training. Anesth Analg. 2008;106(5):1581–4.

    PubMed  Google Scholar 

  75. Neal JM, Hsiung RL, Mulroy MF, Halpern BB, Dragnich AD, Slee AE. ASRA checklist improves trainee performance during a simulated episode of local anesthetic systemic toxicity. Reg Anesth Pain Med. 2012;37(1):8–15.

    PubMed  Google Scholar 

  76. Torsher LC, Craigo P, Lynch JJ, Smith HM. Regional anesthesia emergencies. Simul Healthc. 2009;4(2):109–13.

    PubMed  Google Scholar 

  77. Evans LV, Dodge KL, Shah TD, et al. Simulation training in central venous catheter insertion: improved performance in clinical practice. Acad Med. 2010;85(9):1462–9.

    PubMed  Google Scholar 

  78. Sekiguchi H, Tokita JE, Minami T, Eisen LA, Mayo PH, Narasimhan M. A prerotational, simulation-based workshop improves the safety of central venous catheter insertion: results of a successful internal medicine house staff training program. Chest. 2011;140(3):652–8.

    PubMed  Google Scholar 

  79. Barsuk JH, Cohen ER, Feinglass J, McGaghie WC, Wayne DB. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009;169(15):1420–3.

    PubMed  Google Scholar 

  80. Cohen ER, Feinglass J, Barsuk JH, et al. Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthc. 2010;5(2):98–102.

    PubMed  Google Scholar 

  81. Khouli H, Jahnes K, Shapiro J, et al. Performance of medical residents in sterile techniques during central vein catheterization: randomized trial of efficacy of simulation-based training. Chest. 2011;139(1):80–7.

    PubMed  Google Scholar 

  82. Latif RK, Bautista AF, Memon SB, et al. Teaching aseptic technique for central venous access under ultrasound guidance: a randomized trial comparing didactic training alone to didactic plus simulation-based training. Anesth Analg. 2012;114(3):626–33.

    PubMed  Google Scholar 

  83. Barsuk JH, Cohen ER, McGaghie WC, Wayne DB. Long-term retention of central venous catheter insertion skills after simulation-based mastery learning. Acad Med. 2010;85(10 Suppl):S9–12.

    PubMed  Google Scholar 

  84. Smith CC, Huang GC, Newman LR, et al. Simulation training and its effect on long-term resident performance in central venous catheterization. Simul Healthc. 2010;5(3):146–51.

    PubMed  Google Scholar 

  85. Ma IWY, Brindle ME, Ronksley PE, Lorenzetti DL, Sauve RS, Ghali WA. Use of simulation-based education to improve outcomes of central venous catheterization: a systematic review and meta-analysis. Acad Med. 2011;86(9):1137–47.

    PubMed  Google Scholar 

  86. Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians’ performance in patient care in high-stakes clinical setting of cardiac surgery. Anesthesiology. 2010;112(4):985–92.

    PubMed  Google Scholar 

  87. Steadman RH. Improving on reality: can simulation facilitate practice change? Anesthesiology. 2010;112(4):775–6.

    PubMed  Google Scholar 

  88. Bose RR, Matyal R, Warraich HJ, et al. Utility of a transesophageal echocardiographic simulator as a teaching tool. J Cardiothorac Vasc Anesth. 2011;25(2):212–5.

    PubMed  Google Scholar 

  89. Pratt SD. Simulation in obstetric anesthesia. Anesth Analg. 2012;114(1):186–90.

    PubMed  Google Scholar 

  90. Scavone BM, Sproviero MT, McCarthy RJ, et al. Development of an objective scoring system for measurement of resident performance on the human patient simulator. Anesthesiology. 2006;105(2):260–6.

    PubMed  Google Scholar 

  91. Scavone BM, Toledo P, Higgins N, Wojciechowski K, McCarthy RJ. A randomized controlled trial of the impact of simulation-based training on resident performance during a simulated obstetric anesthesia emergency. Simul Healthc. 2010;5(6):320–4.

    PubMed  Google Scholar 

  92. Daniels K, Lipman S, Harney K, Arafeh J, Maurice D. Use of simulation based team training for obstetric crises in resident education. Simul Healthc. 2008;3(3):154–60.

    PubMed  Google Scholar 

  93. Thompson S, Neal S, Clark V. Clinical risk management in obstetrics: Eclampsia drills. Br Med J. 2004;328(7434):269–71.

    Google Scholar 

  94. Lipman SS, Daniels KI, Carvalho B, et al. Deficits in the provision of cardiopulmonary resuscitation during simulated obstetric crises. Am J Obstet Gynecol. 2010;203(2):179.e171–e175.

    Google Scholar 

  95. Lipman S, Daniels K, Cohen SE, Carvalho B. Labor room setting compared with the operating room for simulated perimortem cesarean delivery: a randomized controlled trial. Obstet Gynecol. 2011;118(5):1090–4.

    PubMed  Google Scholar 

  96. Andreatta P, Saxton E, Thompson M, Annich G. Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates. Pediatr Crit Care Med. 2011;12:33–8.

    PubMed  Google Scholar 

  97. Edler AA, Chen M, Honkanen A, Hackel A, Golianu B. Affordable simulation for small-scale training and assessment. Simul Healthc. 2010;5(2):112–5.

    PubMed  Google Scholar 

  98. Howard-Quijano KJ, Stiegler MA, Huang YM, Canales C, Steadman RH. Anesthesiology residents’ performance of pediatric resuscitation during a simulated hyperkalemic cardiac arrest. Anesthesiology. 2010;112(4):993–7.

    PubMed  Google Scholar 

  99. Gardi TI, Christensen UC, Jacobsen J, Jensen PF, Ording H. How do anaesthesiologists treat malignant hyperthermia in a full-scale anaesthesia simulator? Acta Anaesthesiol Scand. 2001;45(8):1032–5.

    Google Scholar 

  100. Harrison TK, Manser T, Howard SK, Gaba DM. Use of cognitive aids in a simulated anesthetic crisis. Anesth Analg. 2006;103(3):551–6.

    PubMed  Google Scholar 

  101. Berkenstadt H, Yusim Y, Katznelson R, Ziv A, Livingstone D, Perel A. A novel point-of-care information system reduces anaesthesiologists’ errors while managing case scenarios. Eur J Anaesthesiol. 2006;23(3):239–50.

    CAS  PubMed  Google Scholar 

  102. Fletcher JL. AANA journal course: update for nurse anesthetists–anesthesia simulation: a tool for learning and research. AANA J. 1995;63(1):61–7.

    CAS  PubMed  Google Scholar 

  103. Lucisano KE, Talbot LA. Simulation training for advanced airway management for anesthesia and other healthcare providers: a systematic review. AANA J. 2012;80(1):25–31.

    PubMed  Google Scholar 

  104. Turcato N, Roberson C, Covert K. Simulation-based education: what’s in it for nurse anesthesia educators? AANA J. 2008;76(4):257–62.

    PubMed  Google Scholar 

  105. Murray DJ, Boulet JR, Kras JF, McAllister JD, Cox TE. A simulation-based acute skills performance assessment for anesthesia training. Anesth Analg. 2005;101(4):1127–34, table of contents.

    PubMed  Google Scholar 

  106. Penprase B, Mileto L, Bittinger A, et al. The use of high-fidelity simulation in the admissions process: one nurse anesthesia program’s experience. AANA J. 2012;80(1):43–8.

    PubMed  Google Scholar 

  107. Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Arch Pediatr Adolesc Med. 2007;161(8):740–3.

    PubMed  Google Scholar 

  108. Farnsworth ST, Egan TD, Johnson SE, Westenskow D. Teaching sedation and analgesia with simulation. J Clin Monit Comput. 2000;16(4):273–85.

    CAS  PubMed  Google Scholar 

  109. Hallikainen J, Väisänen O, Randell T, Tarkkila P, Rosenberg PH, Niemi-Murola L. Teaching anaesthesia induction to medical students: comparison between full-scale simulation and supervised teaching in the operating theatre. Eur J Anaesthesiol. 2009;26(2):101–4.

    PubMed  Google Scholar 

  110. Savoldelli GL, Naik VN, Joo HS, et al. Evaluation of patient simulator performance as an adjunct to the oral examination for senior anesthesia residents. Anesthesiology. 2006;104(3):475–81.

    PubMed  Google Scholar 

  111. Berkenstadt H, Ziv A, Gafni N, Sidi A. Incorporating simulation-based objective structured clinical examination into the Israeli National Board Examination in Anesthesiology. Anesth Analg. 2006;102(3):853–8.

    PubMed  Google Scholar 

  112. Ben-Menachem E, Ezri T, Ziv A, Sidi A, Brill S, Berkenstadt H. Objective Structured Clinical Examination-based assessment of regional anesthesia skills: the Israeli National Board Examination in Anesthesiology experience. Anesth Analg. 2011;112(1):242–5.

    PubMed  Google Scholar 

  113. ASA Simulation Education Network. 2012; http://www.asahq.org/for-healthcare-professionals/education-and-events/simulation-education-network.aspx. Accessed 19 Mar 2012.

  114. Frederick HJ, Corvetto MA, Hobbs GW, Taekman J. The “Simulation Roulette” game. Simul Healthc. 2011;6(4):244–9.

    PubMed  Google Scholar 

  115. Dieckmann P, Lippert A, Glavin R, Rall M. When things do not go as expected: scenario life savers. Simul Healthc. 2010;5(4):219–25.

    PubMed  Google Scholar 

  116. Van Heukelom JN, Begaz T, Treat R. Comparison of postsimulation debriefing versus in-simulation debriefing in medical simulation. Simul Healthc. 2010;5(2):91–7.

    PubMed  Google Scholar 

  117. Beckman TJ, Cook DA. Developing scholarly projects in education: a primer for medical teachers. Med Teach. 2007;29(2–3):210–8.

    PubMed  Google Scholar 

  118. McGaghie WC. Medical education research as translational science. Sci Transl Med. 2010;2(19):19cm8.

    PubMed  Google Scholar 

  119. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65(9 Suppl):S63–7.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology, College of Medicine, Mayo Clinic, Charlton 1-145, 200 First Street, SW, Rochester, MN, 55905, USA

    Laurence Torsher MD & Paula Craigo MD

Authors
  1. Laurence Torsher MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Paula Craigo MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Laurence Torsher MD .

Editor information

Editors and Affiliations

  1. Departments of Anesthesiology Otolaryngology, and Structural & Chemical Biology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Adam I. Levine MD

  2. Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Samuel DeMaria Jr. MD , Andrew D. Schwartz MD  & Alan J. Sim MD ,  & 

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Torsher, L., Craigo, P. (2013). Simulation in Anesthesiology. In: Levine, A.I., DeMaria, S., Schwartz, A.D., Sim, A.J. (eds) The Comprehensive Textbook of Healthcare Simulation. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5993-4_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-5993-4_17

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5992-7

  • Online ISBN: 978-1-4614-5993-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation