Pediatric and Adult Anesthesiology Simulation Education: A Curriculum for Residents PDF
Preview Pediatric and Adult Anesthesiology Simulation Education: A Curriculum for Residents
Pediatric and Adult Anesthesiology Simulation Education A Curriculum for Residents Claire Sampankanpanich Soria and Suraj Trivedi Editors 123 Pediatric and Adult Anesthesiology Simulation Education Claire Sampankanpanich Soria • Suraj Trivedi Editors Pediatric and Adult Anesthesiology Simulation Education A Curriculum for Residents Editors Claire Sampankanpanich Soria Suraj Trivedi University of California, San Diego University of California, San Diego Medical Center Medical Center San Diego, CA, USA San Diego, CA, USA ISBN 978-3-030-95337-9 ISBN 978-3-030-95338-6 (eBook) https://doi.org/10.1007/978-3-030-95338-6 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface Welcome to Pediatric and Adult Anesthesiology Simulation Education: A Curriculum for Anesthesiology Residents. We decided to write this book after creating a new simulation curriculum at the University of California San Diego for our anesthesiol- ogy residents. As we created various adult and pediatric simulation cases, we real- ized we could share our cases and help other programs either upgrade their current list of simulation cases or start a new simulation program. We specifically included pediatric case examples as these can be difficult to find. The operating room environment has become more complex with technological innovations. Successful outcomes depend on how well surgeons, anesthesiologists, nurses, and techs collaborate and work together as a team. In the style of the dynamic and fast-paced environment of the operating room, simulation training provides a safe, interactive, and educational platform where anesthesia residents and staff can enhance team performance. The field of anesthesia has been a pioneer in the introduction of medical simula- tion into medical education and training. The field of anesthesia is a hands-on spe- cialty that requires dexterity and proficiency with important technical skills such as advanced airway management, vascular access, neuraxial, and regional blocks [1]. Although the predominate use of simulation in anesthesia is to educate providers in crisis management, it is also used to teach routine management and refresh skills [2]. We believe this book is unique because of the breadth of specialties covered, including pediatric anesthesia. Pediatric anesthesia is a unique subspecialty within the field of anesthesiology, with nuances due to variations in physiology and anat- omy, as well as the potential for congenital diseases and syndromes not encountered in daily practice of adult anesthesia. Our hope is that by providing a balance of adult and pediatric anesthesia, this book can help anesthesiologists refresh their knowl- edge and understanding of pediatric anesthesia and provide learners with an appre- ciation for the subtleties and delicate care that must be given to pediatric patients. This book is designed to be used by both academic programs and private practice groups. We have divided the chapters into case-based formats with each chapter containing a scenario layout, useful equipment, major teaching points for an after- simulation debrief, and a learner evaluation form. This tiered education method will v vi Preface assist learners in working though essential team-building skills, increasing their knowledge base, and finally having concrete items in which to further their profes- sional skills. Each chapter starts with a learning objective. The goals of the simulation are made clear to the learner and the educator. A sample simulator environment setup is then listed, with equipment, medications, and mannequin setup. Epps et al. has pro- vided a list of mannequin-based simulation equipment and their setup [2]. We list equipment that we recommend for the specific simulation case. However, we do understand that depending on program preferences not every item may be available. Generally, standard anesthesia airway supplies are readily available, and larger, more specialized items such as defibrillator equipment can be either specially acquired or improvised. We use the SimMan 3G plus © (Laerdal) mannequin which enables us to remotely change vital signs and physical exam findings and allows learners to practice procedures such as intubations and intravenous line placement. However, an advanced mannequin or simulation lab is not a requirement to run a successful simulation program, and often all that is required is a little creativity and understanding. Each chapter presents the simulation case before launching into the case progres- sion, detailing how the simulated patient’s vital signs, physical exam findings, and clinical picture change over the course of the simulation. There are several pathways presented to the educator depending on what clinical choices the learner makes. Each chapter has a master checklist of items the learner should accomplish during the course of the simulation. We encourage educators to gently assist learners in achieving these goals as these can be used for critical feedback at the end of a simu- lation session. We close each chapter with a section summary and important teach- ing points. In addition to the goals list, these often provide valuable educational experiences to the learner. San Diego, CA, USA Claire Sampankanpanich Soria San Diego, CA, USA Suraj Trivedi References 1. Green M, Tariq R, Green P. Improving patient safety through simulation training in anesthesi- ology: where are we? Anesthesiol Res Pract. 2016;2016. doi:10.1155/2016/4237523. 2. Epps C, White ML, Tofil N. Mannequin based simulators. In: The comprehensive textbook of healthcare simulation. Springer, New York; 2013:209–232. doi:10.1007/978-1-4614-5993-4_15. Contents 1 Automatic Implantable Cardioverter Defibrillator (AICD) Misfiring (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Claire Sampankanpanich Soria 2 Amniotic Fluid Embolism (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Claire Sampankanpanich Soria 3 Anaphylaxis (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Claire Sampankanpanich Soria 4 Anterior Mediastinal Mass (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . . . 25 Claire Sampankanpanich Soria 5 APNEA in Post-Anesthesia Care Unit (Adult) . . . . . . . . . . . . . . . . . . . 37 Claire Sampankanpanich Soria 6 Awake Tracheostomy (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Claire Sampankanpanich Soria 7 Brain Code (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Claire Sampankanpanich Soria 8 Bronchospasm (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Claire Sampankanpanich Soria 9 Burn Resuscitation (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Claire Sampankanpanich Soria 10 Button Battery Foreign Body (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . 79 Claire Sampankanpanich Soria 11 Code Sepsis (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Suraj Trivedi 12 Craniosynostosis (Pediatric). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Claire Sampankanpanich Soria vii viii Contents 13 Delivery Room Resuscitation (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . 111 Claire Sampankanpanich Soria 14 Difficult Airway in Obstetrics (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Claire Sampankanpanich Soria 15 Down Syndrome (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Claire Sampankanpanich Soria 16 Hematoma Post-Thyroidectomy (Adult) . . . . . . . . . . . . . . . . . . . . . . . . 137 Claire Sampankanpanich Soria 17 Hemothorax (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Claire Sampankanpanich Soria and Suraj Trivedi 18 Laryngospasm (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153 Claire Sampankanpanich Soria 19 Local Anesthetic Systemic Toxicity (Pediatric) . . . . . . . . . . . . . . . . . . 163 Claire Sampankanpanich Soria 20 Malignant Hyperthermia (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 Claire Sampankanpanich Soria 21 Post-Fontan, Single Ventricle (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . 179 Claire Sampankanpanich Soria 22 Pyloric Stenosis (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 Claire Sampankanpanich Soria 23 Status Epilepticus (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 Claire Sampankanpanich Soria 24 Tetralogy of Fallot (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207 Claire Sampankanpanich Soria 25 Emergence Delirium (Pediatric) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215 Claire Sampankanpanich Soria 26 Venous Air Embolism (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 Claire Sampankanpanich Soria 27 Chronic Obstructive Pulmonary Disease (Adult) . . . . . . . . . . . . . . . . 231 Suraj Trivedi, Matt Mueller, and Claire Sampankanpanich Soria 28 Disseminated Intravascular Coagulation (Adult) . . . . . . . . . . . . . . . . 239 Suraj Trivedi, Matt Mueller, and Claire Sampankanpanich Soria 29 Severe Aortic Stenosis (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245 Suraj Trivedi, Matt Mueller, and Claire Sampankanpanich Soria 30 Extracorporeal Membrane Oxygenation (Adult) . . . . . . . . . . . . . . . . 253 Suraj Trivedi and Matt Mueller Contents ix 31 Transfusion Reaction (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265 Suraj Trivedi, Matt Mueller, and Claire Sampankanpanich Soria 32 Pulmonary Hypertension (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275 Suraj Trivedi, Matt Mueller, and Claire Sampankanpanich Soria 33 Awareness Under Anesthesia (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . 283 Minh Tran, Michael Paluy, and Claire Sampankanpanich Soria 34 Seizure During an Awake Craniotomy (Adult) . . . . . . . . . . . . . . . . . . 291 Minh Tran and Merrick Tan 35 Out of Operating Room Considerations and Neurointerventional Radiology (Adult) . . . . . . . . . . . . . . . . . . . . . 299 Minh Tran and Merrick Tan 36 Epiglottitis (Pediatric). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307 Claire Sampankanpanich Soria and Phil Yao 37 Neonatal Abdominal Wall Defects (Pediatric) . . . . . . . . . . . . . . . . . . . 315 Claire Sampankanpanich Soria and Phil Yao Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325 Contributors Matt Mueller University of California, San Diego Medical Center, San Diego, CA, USA Michael Paluy University of California, San Diego Medical Center, San Diego, CA, USA Claire Sampankanpanich Soria University of California, San Diego Medical Center, San Diego, CA, USA Merrick Tan University of California, San Diego Medical Center, San Diego, CA, USA Minh Tran University of California, San Diego Medical Center, San Diego, CA, USA Suraj Trivedi University of California, San Diego Medical Center, San Diego, CA, USA Phil Yao University of California, San Diego Medical Center, San Diego, CA, USA xi
The list of books you might like
