Basic simulations for anaesthetists A pilot study of the ACCESS system

Summary This paper describes the design and initial testing of the ACCESS (Anaesthetic Computer Controlled Emergency Situation Simulator) system, which has been designed to simulate anaesthetic emergencies with the aim of providing training for junior doctors. The simulations require little or no ca...

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Bibliographic Details
Published in:Anaesthesia 1994-05, Vol.49 (5), p.376-381
Main Authors: BYRNE, A. J., HILTON, P. J., LUNN, J. N.
Format: Article
Language:English
Subjects:
Anaesthesia
training
Anesthesiology - education
Biological and medical sciences
Bradycardia - therapy
Child
Computer Simulation
Computer Systems
Computer-Assisted Instruction
Computerized, statistical medical data processing and models in biomedicine
Drug Contamination
Education, Medical, Graduate - methods
Emergencies
Humans
Hypotension - therapy
Intraoperative Complications - therapy
Manikins
Medical computing and teaching
Medical sciences
Pilot Projects
Tachycardia, Ventricular - therapy
Training simulation
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Summary:Summary This paper describes the design and initial testing of the ACCESS (Anaesthetic Computer Controlled Emergency Situation Simulator) system, which has been designed to simulate anaesthetic emergencies with the aim of providing training for junior doctors. The simulations require little or no capital expenditure with minimal use of time by staff or trainees. They are based on standard anaesthetic equipment, with a microcomputer providing an image of commonly used instruments. Problems are presented as scenarios administered by the teacher, and test the skills of the pupil. During 64 scenarios, five trainees caused two‘deaths’and solved the problems in a median time of2.5min, while an experienced group of anaesthetists caused one‘death’and took 1.8 min. The simulation was rated by the pupils as easy to use, realistic and a valuable educational tool.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1994.tb03466.x