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

Abstract:

: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.

journal_name

Anaesth Intensive Care

authors

Nunnink L,Welsh AM,Abbey M,Buschel C

doi

10.1177/0310057X0903700109

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

74-8

issue

1

eissn

0310-057X

issn

1448-0271

pii

20080284

journal_volume

37

pub_type

杂志文章
  • Analgesic efficacy using loss of resistance to air vs. saline in combined spinal epidural technique for labour analgesia.

    abstract::Identification of the epidural space is often performed using the loss of resistance technique to either air or saline. We sought to investigate if the medium used affected the quality of analgesia obtained by parturients who received labour epidurals. We conducted a retrospective audit of labour epidurals performed o...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0803600512

    authors: Leo S,Lim Y,Sia AT

    更新日期:2008-09-01 00:00:00

  • Continuous tunnelled femoral nerve block for palliative care of a patient with metastatic osteosarcoma.

    abstract::An 18-year-old man with metastatic femoral osteosarcoma had inadequate pain control with gabapentin, naproxen and intravenous fentanyl. A tunnelled femoral nerve catheter was used to administer a continuous infusion of 0.2% ropivacaine and 4 microg/ml clonidine (10 ml/hour) until his death 88 days later During dischar...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1003800324

    authors: Pacenta HL,Kaddoum RN,Pereiras LA,Chidiac EJ,Burgoyne LL

    更新日期:2010-05-01 00:00:00

  • Day 3 versus Day 1 disseminated intravascular coagulation score among sepsis patients: a prospective observational study.

    abstract::The role of disseminated intravascular coagulation (DIC) has not been extensively studied in patients with sepsis. A prospective study was performed in a single university hospital. The incidences of DIC at day 1 (<24 hours post-sepsis diagnosis) and day 3 (48 to 72 hours) were investigated among patients with sepsis....

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1604400110

    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

  • Ventilator-CPAP with the Siemens Servo 900C compared with continuous flow-CPAP in intubated patients: effect on work of breathing.

    abstract::The effects of continuous positive airway pressure (CPAP) provided by the Siemens Servo 900C ventilator were compared with a continuous flow system (CF-CPAP) in patients weaning from the ventilator. Thirteen patients were studied using both systems at a CPAP level of 0.5 kPa. Additional work of breathing (Wapp) and de...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9702500506

    authors: Aerts JG,van den Berg B,Bogaard JM

    更新日期:1997-10-01 00:00:00

  • Use of the Montreal Cognitive Assessment test to investigate the prevalence of mild cognitive impairment in the elderly elective surgical population.

    abstract::Postoperative cognitive disorders are common in elderly patients. Pre-existing cognitive impairment including mild cognitive impairment may be an important risk factor for developing postoperative cognitive dysfunction and may not be detected in a standard preoperative interview, yet is not routinely sought. Our prima...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1604400507

    authors: Smith NA,Yeow YY

    更新日期:2016-09-01 00:00:00

  • Anatomical and ultrasound description of two transmuscular quadratus lumborum block approaches at L2 level and their application in abdominal surgery.

    abstract::The transmuscular quadratus lumborum (TQL) block is one of the recently evolved myofascial blocks utilised in abdominal surgery. It involves injecting local anaesthetic into the fascial plane anterior to the thoracolumbar fascia. This block has previously been described with a transverse oblique paramedian approach at...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X19839931

    authors: Kadam VR,Van Wijk RM,Ludbrook GL,Thiruvenkatarajan V

    更新日期:2019-03-01 00:00:00

  • Severe uncontrolled pain in buttock in a patient on naltrexone: a diagnostic challenge.

    abstract::A 26-year-old woman with a history of intravenous drug use was admitted to hospital with worsening pain in the right buttock radiating to the lateral part of the thigh and to the calf with no suspicion of cauda equina compression. Eventually, a diagnosis of sacroiliitis was made and appropriate antibiotics were admini...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0503300618

    authors: Graham JM,Evans B

    更新日期:2005-12-01 00:00:00

  • Adverse reactions to human plasma proteins.

    abstract::Adverse reactions to human plasma proteins range from mild urticaria to fatal anaphylaxis and may occur with virtually any blood product. The most common clinical settings appear to be whole blood transfusion in subjects with no previous history of reactions, or the infusion of fresh frozen plasma or injection of huma...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8000800207

    authors: Wells JV,King MA

    更新日期:1980-05-01 00:00:00

  • Comparison of remifentanil and fentanyl in anaesthesia for elective cardioversion.

    abstract::This prospective, randomized, double-blind study was designed to compare the recovery characteristics of remifentanil and fentanyl in combination with propofol for direct current cardioversion. Patients undergoing elective cardioversion received either intravenous fentanyl 1 microg/kg (n=33) or remifentanil 0.25 micro...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X0603400309

    authors: Maltepe F,Kocaayan E,Ugurlu BS,Akdeniz B,Guneri S

    更新日期:2006-06-01 00:00:00

  • Neuroimmune mechanisms of pain: Basic science and potential therapeutic modulators.

    abstract::This narrative review aims to describe the role of peripheral and central immune responses to tissue and nerve damage in animal models, and to discuss the use of immunomodulatory agents in clinical practice and their perioperative implications. Animal models of pain have demonstrated that nerve injury activates immune...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X20902774

    authors: Lim JS,Kam PC

    更新日期:2020-05-01 00:00:00

  • The role of pharmacokinetics in anaesthesia: application to intravenous infusions.

    abstract::Pharmacokinetic concepts describe the relationship between drug dose and resulting plasma concentration. A drug's pharmacokinetic profile can be described by distribution and elimination half-lives, initial volume of distribution, steady-state distribution volume, and metabolic and distributional clearance. After init...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X8701500103

    authors: Stanski DR

    更新日期:1987-02-01 00:00:00

  • The analgesic effect of intrathecal dexmedetomidine or clonidine, with bupivacaine, in trauma patients undergoing lower limb surgery: a randomised, double-blind study.

    abstract::This randomised, double-blind study was designed to compare the duration of analgesia and adverse effects following intrathecal administration of dexmedetomidine or clonidine, both with bupivacaine, in trauma patients. Ninety adult trauma patients of American Society of Anesthesiologists physical status I-II, schedule...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X1304100110

    authors: Solanki SL,Bharti N,Batra YK,Jain A,Kumar P,Nikhar SA

    更新日期:2013-01-01 00:00:00

  • Effect of posterior quadratus lumborum blockade on the quality of recovery after major gynaecological laparoscopic surgery: A randomized controlled trial.

    abstract::Bilateral quadratus lumborum blockade (QLB) using ultrasound guidance has been introduced as an abdominal truncal block to improve postoperative analgesia and quality of recovery (QoR) after abdominal surgery, but efficacy remains controversial. The primary aim of this study was to evaluate the efficacy of posterior Q...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X19838765

    authors: Fujimoto H,Irie T,Mihara T,Mizuno Y,Nomura T,Goto T

    更新日期:2019-03-01 00:00:00

  • The effects of different doses of caudal morphine with levobupivacaine on postoperative vomiting and quality of analgesia after circumcision.

    abstract::The study aim was to investigate the effect of three different morphine doses added to levobupivacaine 0.125% for caudal analgesia after circumcision surgery in children, particularly in relation to the frequency of postoperative vomiting within the first 24 hours following surgery. Two hundred and forty patients aged...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X1404200211

    authors: Dostbil A,Gursac Celik M,Aksoy M,Ahiskalioglu A,Celik EC,Alici HA,Ozbey I

    更新日期:2014-03-01 00:00:00

  • Pulmonary extraction of catecholamines in critically ill patients.

    abstract::Plasma catecholamine concentrations in blood obtained simultaneously from the pulmonary and radial arteries of ten critically ill patients have been measured. The mean mixed venous concentrations of noradrenaline, adrenaline and dopamine were extremely high, noradrenaline 11.3 pmol/ml (SD 11.6), adrenaline 2.7 pmol/ml...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8201000404

    authors: Russell WJ,Frewin DB,Jonsson JR

    更新日期:1982-11-01 00:00:00

  • Survey of anaesthetists' practice of sedation for gastrointestinal endoscopy.

    abstract::We conducted a survey of Australian specialist anaesthetists about their practice of sedation for elective and emergency gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), and colonoscopy. A 24-item survey was emailed to 1,000 anaesthetists in August 2015. Responses were received from 409 anaesthetist...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1604400409

    authors: Leslie K,Allen ML,Hessian E,Lee AY

    更新日期:2016-07-01 00:00:00

  • Factors affecting performance of air tonometry using the TONOCAP.

    abstract::Saline tonometry has been replaced by automated air tonometry (TONOCAP). As with saline tonometry there are some pitfalls to consider. We investigated the influence of different filling handicaps to the tonometry catheter sampling balloon on measurement of regional PCO2 (PrCO2). In an in vitro set-up, PrCO2 was measur...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0203000613

    authors: Dullenkopf A,Cornelius A,Gerber AC,Weiss M

    更新日期:2002-12-01 00:00:00

  • PEEP and CPAP.

    abstract::Positive end-expiratory pressure (PEEP) maintains airway pressure above atmospheric at the end of expiration, and may be used with mechanical ventilation or spontaneous breathing. CPAP, or continuous positive airway pressure, refers to spontaneous ventilation with a positive airway pressure being maintained throughout...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X8601400304

    authors: Duncan AW,Oh TE,Hillman DR

    更新日期:1986-08-01 00:00:00

  • Joseph Clover and the cobra: a tale of snake envenomation and attempted resuscitation with bellows in London, 1852.

    abstract::The Industrial Revolution saw the creation of many new jobs, but probably none more curious than that of zookeeper. The London Zoological Gardens, established for members in 1828, was opened to the general public in 1847. In 1852 the "Head Keeper in the Serpent Room", Edward Horatio Girling, spent a night farewelling ...

    journal_title:Anaesthesia and intensive care

    pub_type: 历史文章,杂志文章

    doi:10.1177/0310057X100380S101

    authors: Ball C

    更新日期:2010-07-01 00:00:00

  • Predictive performance of a model of anaesthetic uptake with desflurane.

    abstract::We have previously shown that a model of anaesthetic uptake and distribution, developed for use as a teaching tool, is able to predict end-tidal isoflurane and sevoflurane concentrations at least as well as commonly used propofol models predict blood levels of propofol. Models with good predictive performance may be u...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0603400215

    authors: Kennedy R

    更新日期:2006-04-01 00:00:00

  • A patient with intractable posthypoxic myoclonus (Lance-Adams syndrome) treated with sodium oxybate.

    abstract::Posthypoxic myoclonus is a rare and devastating complication of near-fatal cardiopulmonary arrest. Despite treatment with available anti-myoclonic agents, some patients may recover cognitively but remain completely disabled by severe myoclonus. We report a 16-year-old patient with severe treatment-refractory posthypox...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0903700214

    authors: Arpesella R,Dallocchio C,Arbasino C,Imberti R,Martinotti R,Frucht SJ

    更新日期:2009-03-01 00:00:00

  • Chest physiotherapy during mechanical ventilation.

    abstract::The effects of three different physiotherapy techniques on arterial oxygen tensions and A-aO2 gradients were evaluated in 17 patients subjected to mechanical ventilation. No significant changes were detected and the clinical significance of these findings, which contrast with those of other investigators, is discussed...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X7500300309

    authors: Brock-Utne JG,Winning TJ,Botha E,Goodwin NM

    更新日期:1975-08-01 00:00:00

  • Presentation of hemiplegic migraine--hemiplegia and hemi-sensory loss following general anaesthesia.

    abstract::We report a case of a 15-year-old male who developed severe left-sided hemiplegia and hemi-sensory loss 20 minutes after arrival in post anaesthetic care unit following an uneventful general anaesthesia for removal of a cannulated screw of left hip. Initial CT and MRI/MRA with diffusion-weighted imaging were unremarka...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500318

    authors: Lin L,Adey C

    更新日期:2007-06-01 00:00:00

  • Comparison of the efficacy of paracetamol versus paracetamol, codeine and promethazine (Painstop) for premedication and analgesia for myringotomy in children.

    abstract::This prospective double-blinded study compared the analgesic effectiveness and incidence of complications of a compound preparation Painstop (Paedpharm Pty Ltd) containing paracetamol 12 mg, codeine 0.5 mg and promethazine 0.65 mg per 1.0 ml, dosage 1.0 ml/kg, with paracetamol 20 mg/kg. Ninety-five children aged 1 to ...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9702500105

    authors: Ragg P,Davidson A

    更新日期:1997-02-01 00:00:00

  • The relationship between superior vena cava diameter and collapsibility and central venous pressure.

    abstract::The aim of this study was to assess the relationship between superior vena cava (SVC) diameter, collapsibility and central venous pressure (CVP) in cardiac surgical patients. SVC maximum and minimum diameters, plus collapsibility with ventilation, were measured with transoesophageal echocardiography in the mid-oesopha...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1504300312

    authors: Cowie BS,Kluger R,Rex S,Missant C

    更新日期:2015-05-01 00:00:00

  • Tracheobronchial injury secondary to blunt chest trauma: diagnosis and management.

    abstract::Tracheobronchial injury is an uncommon complication in blunt chest trauma. The typical clinical features include haemoptysis, dyspneoa, and air leak. Tracheobronchial injury occurs after high energy impact and is commonly associated with injuries of other vital organs. If tracheobronchial injury is undetected and left...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X0203000204

    authors: Chu CP,Chen PP

    更新日期:2002-04-01 00:00:00

  • Uterine rupture and scar dehiscence. A five-year survey.

    abstract::A review of the medical records from two public hospitals in Sydney was undertaken to determine the incidence of this uncommon complication. Twenty-seven cases of uterine rupture were reported out of 31,115 deliveries with an incidence of 0.086% (versus 0.05% in the current literature). The incidence associated with p...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9602400612

    authors: Lynch JC,Pardy JP

    更新日期:1996-12-01 00:00:00

  • The influence of head rotation on ProSeal laryngeal mask airway sealing during paediatric myringotomy.

    abstract::Myringotomy with ventilation tube insertion in children involves turning the head from neutral to allow surgical access to the ear. In adults, rotation of the head from the mid-line generally increases the oropharyngeal leak pressure when a ProSeal laryngeal mask airway (PLMA) is used to manage the airway. There are c...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章

    doi:10.1177/0310057X0703500617

    authors: Choi WJ,Kim YH

    更新日期:2007-12-01 00:00:00

  • Pancuronium requirements during hypothermic cardiopulmonary bypass in man.

    abstract::Eight patients were studied to determine the changes in pancuronium requirements during hypothermic cardiopulmonary bypass. They were anaesthetised with fentanyl as the principal agent, ventilated with oxygen and the neuromuscular junction was monitored using train-of-four stimulation. After a bolus dose of pancuroniu...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8301100306

    authors: Futter ME,Whalley DG,Wynands JE,Bevan DR

    更新日期:1983-08-01 00:00:00

  • Thickly and thinly applied lignocaine-prilocaine cream prior to venepuncture in children.

    abstract::EMLA cream (Astra Pharmaceuticals) which contains lignocaine and prilocaine, is widely used in a thick layer to reduce the pain associated with venepuncture. Application of smaller amounts of cream lowers cost and may reduce side-effects. The efficacy of a thick layer (using 2.0 ml) and a thin layer (using 0.5 ml) of ...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9101900305

    authors: Sims C

    更新日期:1991-08-01 00:00:00