SIMULATION SKILLS TRANSLATED TO HIGH QUALITY CLINICAL ANAESTHESIA- AN EXPERIENCE
English

Supriya Mhatre, Abhijeet Singh Shekhawat, Shahbaz Naseem, Aparna Ruparel, Varsha Vyas
2019 Journal of Evidence Based Medicine and Healthcare  
HOW TO CITE THIS ARTICLE: Mhatre S, Shekhawat AS, Naseem S, et al. Simulation skills translated to high quality clinical anaesthesia-an experience. BACKGROUND Simulation training is rapidly becoming an integral element of the education curriculum of anaesthesia residency programs. We report a case of successful management of a patient undergoing caesarean section under general anaesthesia. We conducted an obstetric anaesthesia workshop where in we created a similar scenario. Learning objectives
more » ... Learning objectives were proper assessment of the patient, planning the anaesthesia, aspiration prophylaxis, proper pre-oxygenation, airway assessment and management strategy, cricoid pressure, adequate analgesia following baby delivery and administration of uterotonics and vasopressor along with fluid resuscitation. Neonatal resuscitation was also enacted during the workshop. In a clinical setting we needed to deliver general anaesthesia for a case of caesarean section with a history of chicken pox one week before the surgery. The rashes on patients back and recent history of disease were contraindications for regional anaesthesia techniques. We were able to implement all the protocols, resuscitation measures and proper management. Upon debriefing, it was determined that the previous training influenced proper planning and management of the present case. Successful implementation of high-quality patient safety methods and delivering high quality anaesthesia was achieved by simulation training. Simulation is a technique to amplify real patient experiences with guided, artificially contrived experiences, that evokes or replicates substantial aspects of real world in a fully interactive manner. With the introduction of The Medical Simulation laboratory about 2 years back at our institution, trainees undergo simulation-based training during their residency. We conducted an obstetric anaesthesia workshop for the anaesthesia residents in which there was a similar case
doi:10.18410/jebmh/2019/39 fatcat:i56zetsd4vejvlf66z6udii5hq