In situ simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive care unit.


:Emergency chest reopen of the post cardiac surgical patient in the intensive care unit is a high-stakes but infrequent procedure which requires a high-level team response and a unique skill set. We evaluated the impact on knowledge and confidence of team-based chest reopen training using a patient simulator compared with standard video-based training. We evaluated 49 medical and nursing participants before and after training using a multiple choice questions test and a questionnaire of self-reported confidence in performing or assisting with emergency reopen. Both video- and simulation-based training significantly improved results in objective and subjective domains. Although the post-test scores did not differ between the groups for either the objective (P = 0.28) or the subjective measures (P = 0.92), the simulation-based training produced a numerically larger improvement in both domains. In a multiple choice question out of 10, participants improved by a mean of 1.9 marks with manikin-based training compared to 0.9 with video training (P = 0.03). On a questionnaire out of 20 assessing subjective levels of confidence, scores improved by 3.9 with manikin training compared to 1.2 with video training (P = 0.002). Simulation-based training appeared to be at least as effective as video-based training in improving both knowledge and confidence in post cardiac surgical emergency resternotomy.


Anaesth Intensive Care


Nunnink L,Welsh AM,Abbey M,Buschel C




Has Abstract


2009-01-01 00:00:00














  • For calculating osmolality, the simplest formula is the best.

    abstract::Plasma osmolalities were measured in 100 normal, 100 general hospital and 100 intensive care patients, and compared with the osmolalities calculated from the plasma concentrations of sodium, potassium, glucose and urea, using five different published formulae. The mean osmolar gaps in the 100 consecutive intensive car...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章


    authors: Worthley LI,Guerin M,Pain RW

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  • Rupture of left main bronchus associated with radiotherapy-induced bronchial injury and use of a double-lumen tube in oesophageal cancer surgery.

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    journal_title:Anaesthesia and intensive care

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    authors: Jha RR,Mishra S,Bhatnagar S

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  • A serious and repeatable electrical hazard--compressed electrical cord and an operating table.

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    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章


    authors: Courtney NM,McCoy EP,Scolaro RJ,Watt PA

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    pub_type: 临床试验,杂志文章,随机对照试验


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    pub_type: 杂志文章,评审


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    authors: Roberts LJ,Goucke CR

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    journal_title:Anaesthesia and intensive care

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    authors: Anstey C

    更新日期:2003-08-01 00:00:00

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    journal_title:Anaesthesia and intensive care

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    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


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    journal_title:Anaesthesia and intensive care

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    authors: Park JY,Park S,Park SY,Sim YS,Kim JH,Hwang YI,Jang SH,Jung KS

    更新日期:2016-01-01 00:00:00