Responding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students

Introduction Postoperative respiratory complications have multiple etiologies, are commonly occurring, and are potentially life-threatening complications of anesthesia. Adverse outcomes associated with respiratory complications are a leading cause of injury-related malpractice claims in anesthesiolo...

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Autores principales:	Terry Allan Ellis, David Otto Bracho, Sandeep Krishnan
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2017
Materias:	Respiratory Insufficiency Residual Neuromuscular Blockade Postoperative Respiratory Complications Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/16493f25c82f43deb58a497724883d79
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spelling	oai:doaj.org-article:16493f25c82f43deb58a497724883d792021-12-03T14:08:25ZResponding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students10.15766/mep_2374-8265.105292374-8265https://doaj.org/article/16493f25c82f43deb58a497724883d792017-01-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10529https://doaj.org/toc/2374-8265Introduction Postoperative respiratory complications have multiple etiologies, are commonly occurring, and are potentially life-threatening complications of anesthesia. Adverse outcomes associated with respiratory complications are a leading cause of injury-related malpractice claims in anesthesiology. Appropriate response to respiratory complications in the postanesthesia care unit (PACU) involves early intervention, development of a differential diagnosis, and an organized approach to respiratory support and patient disposition. Methods This simulation is designed for medical students, student nurse anesthetists, and junior resident physicians rotating clinically in anesthesiology. It is designed as a 1-hour, small-group, simulation-based learning activity centered upon a single patient encounter. It focuses on a postoperative encounter occurring shortly after a patient arrives in the PACU. The patient is recovering from a prolonged emergent upper abdominal surgery using an anesthetic associated with increased risk of respiratory complications, and has multiple risk factors for postoperative respiratory complications. This scenario is easily reproduced on modern simulation mannequins without specialized programming. The patient's vital signs are displayed and remain within normal limits, with the exception of the oxygen saturation and heart rate, which must be adjusted during the exercise. Results Learners provided evaluations of their experience with this simulation, and these appraisals and comments have been unanimously positive. Discussion We employed this exercise using an anesthesiology resident physician to proctor and debrief, a simulation technician to program and run the model, and a faculty anesthesiologist to mentor each session. We used this simulation case as an educational opportunity for medical students rotating clinically in our department.Terry Allan EllisDavid Otto BrachoSandeep KrishnanAssociation of American Medical CollegesarticleRespiratory InsufficiencyResidual Neuromuscular BlockadePostoperative Respiratory ComplicationsMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Respiratory Insufficiency Residual Neuromuscular Blockade Postoperative Respiratory Complications Medicine (General) R5-920 Education L
spellingShingle	Respiratory Insufficiency Residual Neuromuscular Blockade Postoperative Respiratory Complications Medicine (General) R5-920 Education L Terry Allan Ellis David Otto Bracho Sandeep Krishnan Responding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students
description	Introduction Postoperative respiratory complications have multiple etiologies, are commonly occurring, and are potentially life-threatening complications of anesthesia. Adverse outcomes associated with respiratory complications are a leading cause of injury-related malpractice claims in anesthesiology. Appropriate response to respiratory complications in the postanesthesia care unit (PACU) involves early intervention, development of a differential diagnosis, and an organized approach to respiratory support and patient disposition. Methods This simulation is designed for medical students, student nurse anesthetists, and junior resident physicians rotating clinically in anesthesiology. It is designed as a 1-hour, small-group, simulation-based learning activity centered upon a single patient encounter. It focuses on a postoperative encounter occurring shortly after a patient arrives in the PACU. The patient is recovering from a prolonged emergent upper abdominal surgery using an anesthetic associated with increased risk of respiratory complications, and has multiple risk factors for postoperative respiratory complications. This scenario is easily reproduced on modern simulation mannequins without specialized programming. The patient's vital signs are displayed and remain within normal limits, with the exception of the oxygen saturation and heart rate, which must be adjusted during the exercise. Results Learners provided evaluations of their experience with this simulation, and these appraisals and comments have been unanimously positive. Discussion We employed this exercise using an anesthesiology resident physician to proctor and debrief, a simulation technician to program and run the model, and a faculty anesthesiologist to mentor each session. We used this simulation case as an educational opportunity for medical students rotating clinically in our department.
format	article
author	Terry Allan Ellis David Otto Bracho Sandeep Krishnan
author_facet	Terry Allan Ellis David Otto Bracho Sandeep Krishnan
author_sort	Terry Allan Ellis
title	Responding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students
title_short	Responding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students
title_full	Responding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students
title_fullStr	Responding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students
title_full_unstemmed	Responding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students
title_sort	responding to a respiratory complication in the recovery room: a simulation case for anesthesiology students
publisher	Association of American Medical Colleges
publishDate	2017
url	https://doaj.org/article/16493f25c82f43deb58a497724883d79
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Responding to a Respiratory Complication in the Recovery Room: A Simulation Case for Anesthesiology Students

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