Teaching without a teacher: developing competence with a Bullard laryngoscope using only a structured self-learning course and practicing on a mannequin.

Abstract:

STUDY OBJECTIVE:To show that a complex motor skill can be taught without requiring active expert faculty participation. DESIGN:Prospective descriptive study. SETTING:Simulation laboratory of an academic anesthesiology department. SUBJECTS:Novice users of the Bullard laryngoscope, predominantly residents. INTERVENTIONS:Novice Bullard users were presented with a PowerPoint presentation using text and pictures describing the use of the Bullard. The learners were also provided with a Bullard laryngoscope and a mannequin on which to practice. Self-learning time was not restricted. MEASUREMENTS:Learners decided for themselves when they were competent and ready for competency assessment. The assessment tool was a checklist of essential steps developed by faculty experienced in Bullard laryngoscopy. The primary end-point was successful intubation. MAIN RESULTS:All learners were deemed competent. The mean self-learning time was 14.1 minutes (SD, 3.1 min; range, 9.2-21.0 min). All subjects indicated a high level of satisfaction with the learning technique. CONCLUSIONS:Teaching a complex motor skill with no expert instruction is possible.

journal_name

J Clin Anesth

authors

Pott LM,Santrock D

doi

10.1016/j.jclinane.2007.06.004

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

583-6

issue

8

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(07)00196-1

journal_volume

19

pub_type

杂志文章
  • Comparison of analgesic efficacy of paracetamol and tramadol for pain relief in active labor.

    abstract:STUDY OBJECTIVE:To evaluate the efficacy and safety profile of paracetamol in comparison with tramadol for pain relief during active labor. DESIGN:Prospective, randomized, double-blind study. SETTING:Maternity Wing of the Postgraduate Institute of Medical Education and Research, Chandigarh. PATIENT:Sixty laboring, p...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2014.08.008

    authors: Kaur Makkar J,Jain K,Bhatia N,Jain V,Mal Mithrawal S

    更新日期:2015-03-01 00:00:00

  • Midazolam potentiates thiopental sodium anesthetic induction in patients.

    abstract:STUDY OBJECTIVE:To test the hypothesis that midazolam potentiates thiopental sodium-induced unconsciousness. DESIGN:Randomized, double-blind study. SETTING:A university medical center. PATIENTS:Fifty nonpremedicated ASA physical status I and II adult patients scheduled for eye surgery. INTERVENTIONS:Intravenous (IV...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(91)90177-o

    authors: Kissin I,Vinik HR,Bradley EL Jr

    更新日期:1991-09-01 00:00:00

  • Effect of propofol for induction and ondansetron with or without dexamethasone for the prevention of nausea and vomiting after major gynecologic surgery.

    abstract:STUDY OBJECTIVES:To test the hypothesis that for major gynecologic surgery the combination of propofol for induction, ondansetron, and dexamethasone would be a more effective antiemetic combination than propofol for induction, ondansetron, and saline; and to determine if a propofol induction of anesthesia improved our ...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/S0952-8180(96)00215-2

    authors: McKenzie R,Riley TJ,Tantisira B,Hamilton DL

    更新日期:1997-02-01 00:00:00

  • Suppression of cough during emergence from general anesthesia: laryngotracheal lidocaine through a modified endotracheal tube.

    abstract:STUDY OBJECTIVE:To ascertain if coughing during emergence from general anesthesia can be suppressed with a modified endotracheal tube. DESIGN:Randomized, double-blind, controlled study. SETTING:Operating rooms at a university hospital. PATIENTS:46 adult ASA physical status I, II, and III patients requiring elective ...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(01)00299-9

    authors: Diachun CA,Tunink BP,Brock-Utne JG

    更新日期:2001-09-01 00:00:00

  • Wound infiltration with ropivacaine and fentanyl: effects on postoperative pain and PONV after breast surgery.

    abstract:STUDY OBJECTIVE:To determine whether postoperative wound infiltration with local anesthetics combined with fentanyl improves analgesia following breast surgery; and to investigate awakening and postoperative nausea/vomiting. DESIGN:Prospectively randomized clinical study. SETTING:University hospital. PATIENTS:45 ASA...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(02)00511-1

    authors: Johansson A,Kornfält J,Nordin L,Svensson L,Ingvar C,Lundberg J

    更新日期:2003-03-01 00:00:00

  • Rapid ventricular pacing: a novel technique to decrease cardiac output for giant basilar aneurysm surgery.

    abstract::A case of a 49 year old man with a giant basilar artery aneurysm requiring rapid ventricular pacing is presented. Rapid ventricular pacing decreased aneurysm size and increased operative exposure, which aided surgical decision making. It also provided decreased wall tension in the aneurysm. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2012.04.013

    authors: Whiteley JR,Payne R,Rodriguez-Diaz C,Ellegala DB,Reeves ST

    更新日期:2012-12-01 00:00:00

  • Unilateral pulmonary edema following acute subglottic edema.

    abstract::Presented here is a case of unilateral pulmonary edema following acute subglottic edema after removal of an endotracheal tube. A 3-year-old boy, diagnosed as having nondiphtheric croup and pectus excavatum deformity, was scheduled for repair of a cleft lip. No complication occurred during the operation. After removal ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(90)90049-9

    authors: Morisaki H,Ochiai R,Takeda J,Nagano M

    更新日期:1990-01-01 00:00:00

  • Intraoperative aberrant bispectral index values due to facial nerve monitoring.

    abstract::Bispectral index is an accepted depth of anaesthesia monitor for guiding intraoperative hypnotic agent administration. Frontalis EMG displayed on BIS monitor may increase due to twitching of frontalis muscle. EMG increases are also known to cause artefactual increases in BIS values. We report a case of artefactual inc...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.11.005

    authors: Chakrabarti D,Surve RM,Bs D,Masapu D

    更新日期:2017-02-01 00:00:00

  • Abdominal relaxation during emergence from general anesthesia with propofol and remifentanil.

    abstract:STUDY OBJECTIVE:To characterize respiratory dynamics during emergence from propofol-remifentanil anesthesia using noninvasive respiratory inductance plethysmography (RIP). DESIGN:Observational pilot study. SETTING:Operating room in a university-affiliated teaching hospital. PATIENTS:50 ASA physical status 1, 2, and ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2012.06.025

    authors: Atkins JH,Mandel JE

    更新日期:2013-03-01 00:00:00

  • Cesarean delivery in a parturient with syringomyelia and worsening neurological symptoms.

    abstract::A parturient presented at 35 weeks' gestation with worsening neurological symptoms caused by syringomyelia. She underwent urgent cesarean delivery. The etiology and anesthetic considerations for an obstetrical patient with syringomyelia are discussed. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2011.03.007

    authors: Nielsen JL,Bejjani GK,Vallejo MC

    更新日期:2011-12-01 00:00:00

  • Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy.

    abstract:STUDY OBJECTIVE:To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. DESIGN:Prospective, randomized, controlled study. SETTING:Postoperative recovery area at a university-affiliated medical center. PATIENTS:50 ASA physical status I and II adult outpatients undergoing...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2008.04.003

    authors: Montes FR,Zarate E,Grueso R,Giraldo JC,Venegas MP,Gomez A,Rincón JD,Hernadez M,Cabrera M

    更新日期:2008-09-01 00:00:00

  • Three concentrations of levobupivacaine for ilioinguinal/iliohypogastric nerve block in ambulatory pediatric surgery.

    abstract:STUDY OBJECTIVE:To compare the postoperative analgesia of three different concentrations of levobupivacaine for ilioinguinal/iliohypogastric (II/IH) block in children undergoing inguinal hernia repair. DESIGN:Double-blind, prospective, randomized, controlled trial. SETTING:Operating room and postoperative recovery ar...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2008.10.012

    authors: Disma N,Tuo P,Pellegrino S,Astuto M

    更新日期:2009-09-01 00:00:00

  • Malignant hyperthermia associated with diabetic hyperosmolar hyperglycemic nonketotic state in a young man.

    abstract::Malignant hyperthermia (MH) is a rare complication that often leads to adverse outcomes, catastrophic events, or death. Although various risk factors and underlying diseases are associated with this condition, unusual presentations may be missed. Malignant hyperthermia is an uncommon complication encountered during th...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2006.12.008

    authors: Baluch AR,Oommen SP

    更新日期:2007-09-01 00:00:00

  • Gender difference in mask ventilation training of anesthesia residents.

    abstract:STUDY OBJECTIVE:To investigate whether gender difference has an effect on an anesthesia resident's ability to perform successful mask ventilation. DESIGN:Cohort study. SETTING:Surgical operation theater of a university-affiliated hospital. PATIENTS:839 ASA physical status I, II, and III patients undergoing general a...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2008.06.037

    authors: Koga T,Kawamoto M

    更新日期:2009-05-01 00:00:00

  • The effects of maternal presence during anesthesia induction on salivary cortisol levels in children undergoing tonsillectomy and/or adenoidectomy.

    abstract:OBJECTIVE:Although parental presence during anesthesia induction is suggested to diminish operative stress level in children, there have been conflicting results about this strategy. The aim of this study was to evaluate the effects of maternal presence during induction on operative stress level in children who had ton...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2017.03.001

    authors: Ozdogan HK,Cetinalp S,Kuran G,Tugal O,Tahiroglu M,Herdem UE,Haytoglu S

    更新日期:2017-06-01 00:00:00

  • Rocuronium versus succinylcholine-atracurium for tracheal intubation and maintenance relaxation during propofol anesthesia.

    abstract:STUDY OBJECTIVES:To compare the onset and offset time (clinical duration), and intubating conditions obtained with rocuronium bromide 0.6 mg/kg and succinylcholine 1.0 mg/kg after induction with propofol and fentanyl; and to compare rocuronium with atracurium for maintenance during propofol anesthesia. DESIGN:Prospect...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(00)00191-4

    authors: Lam AM,Pavlin EG,Visco E,Taraday J

    更新日期:2000-09-01 00:00:00

  • Carbon dioxide absorber as a cause of high airway pressures.

    abstract::We investigate an incident in which a carbon dioxide absorber caused difficulty with ventilation. The problem as it developed throughout the anesthetic, and clues that led to the determination that the carbon dioxide canister was the problem, is discussed. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2007.06.018

    authors: Bagdasarian LA,Shah NK,Sharif MK

    更新日期:2008-02-01 00:00:00

  • Unusual presentation of local anesthetic toxicity.

    abstract::The local anesthetic systemic toxicity can be due to increased blood lignocaine levels or due to increased sensitivity to lignocaine. Several cases of lignocaine-induced central nervous system toxicity have been noted, but none have reported only loss of consciousness without any seizure-like activity. Intravenous lip...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.08.039

    authors: Hayaran N,Sardana R,Nandinie H,Jain A

    更新日期:2017-02-01 00:00:00

  • Impact of deep hypothermic circulatory arrest on the BIS index.

    abstract:STUDY OBJECTIVE:To investigate the influence of duration of deep hypothermic circulatory arrest (DHCA) on recovery of the bispectral index (BIS). DESIGN:Prospective cohort study. SETTING:Operating room of university teaching hospital. PATIENTS:30 adult, ASA physical status III and IV patients scheduled for cardiac s...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2009.09.007

    authors: Ziegeler S,Buchinger H,Wilhelm W,Larsen R,Kreuer S

    更新日期:2010-08-01 00:00:00

  • Does nitrous oxide labor analgesia influence the pattern of neuraxial analgesia usage? An impact study at an academic medical center.

    abstract:STUDY OBJECTIVE:To compare the rate of epidural use before and after the implementation of nitrous oxide (N2O). DESIGN:Data were obtained from a nursing database of N2O usage and our obstetric anesthesia database. We compared 8 months before and 8 months after the introduction of N2O. It was available 24 h/d, 7 d/wk, ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.07.019

    authors: Bobb LE,Farber MK,McGovern C,Camann W

    更新日期:2016-12-01 00:00:00

  • Evaluation of anesthetic technique on surgical site infections (SSIs) at a single institution.

    abstract:STUDY OBJECTIVE:To determine whether the previously published relationship between anesthetic technique and rate of surgical site infections (SSIs) was influenced by institution specific effects. DESIGN:Retrospective Review of Quality Assurance and Hospital Epidemiology databases. SETTING:Metropolitan medical center....

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2014.04.015

    authors: Curry CS,Smith KA,Allyn JW

    更新日期:2014-12-01 00:00:00

  • Oral mask ventilation is more effective than face mask ventilation after nasal surgery.

    abstract:OBJECTIVE:To evaluate and compare the face mask (FM) and oral mask (OM) ventilation techniques during anesthesia emergence regarding tidal volume, leak volume, and difficult mask ventilation (DMV) incidence. DESIGN:Prospective, randomized, crossover study. SETTING:Operating room, training and research hospital. SUBJ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2015.12.008

    authors: Yazicioğlu D,Baran I,Uzumcugil F,Ozturk I,Utebey G,Sayın MM

    更新日期:2016-06-01 00:00:00

  • Prolonged apnea after remifentanil.

    abstract::A young, healthy adult man exhibited naloxone-reversible, prolonged apnea after a 4-hour infusion of remifentanil, which was used as the opioid component of a general endotracheal anesthetic. Clinical experience and pharmacokinetic simulations indicate that the apnea was clearly atypical. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2006.05.024

    authors: Nelson RY,Bretz B,Egan TD

    更新日期:2007-02-01 00:00:00

  • Airway involvement and anesthetic management in Goltz's syndrome.

    abstract::A 13-year-old girl with Goltz's (Goltz-Gorlin) syndrome (focal dermal hypoplasia) and cloacal exstrophy underwent day surgery cystoscopy. During the administration of inhalation anesthesia by mask, persistent partial upper airway obstruction was noted. Direct laryngoscopy unexpectedly showed variously sized verrucous ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(91)90190-x

    authors: Holzman RS

    更新日期:1991-09-01 00:00:00

  • Management of airway in patients with laryngeal tumors.

    abstract:STUDY OBJECTIVE:To describe our systematic approach to securing the airway in patients with laryngeal tumors, developed over a 10-year period. DESIGN:Retrospective analysis. SETTING:University-affiliated veterans administration medical center. PATIENTS:Eight hundred one patients presenting for laryngeal tumor surger...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2004.12.019

    authors: Moorthy SS,Gupta S,Laurent B,Weisberger EC

    更新日期:2005-12-01 00:00:00

  • Comparison of cisatracurium-induced neuromuscular blockade between immediate postpartum and nonpregnant patients.

    abstract:STUDY OBJECTIVES:To evaluate and compare cisatracurium-induced neuromuscular blockade and intubating conditions between immediate postpartum (PP) and nonpregnant (NP) patients. DESIGN:Prospective control study. SETTINGS:University Hospital Center. PATIENTS:44 ASA physical status I and II patients: 22 immediate postp...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0952-8180(01)00226-4

    authors: Pan PH,Moore C

    更新日期:2001-03-01 00:00:00

  • Anesthetic management for cardioverter-defibrillator implantation in a patient with Kearns-Sayre syndrome.

    abstract::Kearns-Sayre syndrome (KSS) is a rare mitochondrial myopathy and often involves cardiac conduction abnormality and muscle weakness. We report a patient with KSS who had an implantable cardioverter-defibrillator (ICD) implanted during general anesthesia with propofol and nitrous oxide (N2O). These anesthetics did not s...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2004.08.002

    authors: Hara K,Sata T,Shigematsu A

    更新日期:2004-11-01 00:00:00

  • Aprotinin does not prolong the Sonoclot aprotinin-insensitive activated clotting time.

    abstract:STUDY OBJECTIVE:To determine whether a new Sonoclot-based, aprotinin-insensitive activated clotting time (aiACT) assay yields stable results over a broad range of aprotinin concentrations. DESIGN:Prospective trial conducted on in vitro blood samples. SETTING:Tertiary-care teaching medical center. PARTICIPANTS:19 hea...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2007.03.003

    authors: Dong Y,Nuttall GA,Oliver WC Jr,Agarwal S,Ereth MH

    更新日期:2007-09-01 00:00:00

  • Anesthetic considerations in patients with Alzheimer's disease.

    abstract::Alzheimer's disease is a form of dementia that is estimated to affect approximately 3 to 4 million Americans. Given the substantial number of people affected with this disease, it is likely that anesthesiologists will encounter many patients with Alzheimer's disease. Questions as to potential problems including inform...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s0952-8180(02)00483-x

    authors: Fernandez CR,Fields A,Richards T,Kaye AD

    更新日期:2003-02-01 00:00:00

  • Uniport soft-tip, open-ended catheters versus multiport firm-tipped close-ended catheters for epidural labor analgesia: a quality assurance study.

    abstract:STUDY OBJECTIVE:To compare a multiport, firm-tipped, close-ended, epidural catheter (Portex catheter) with a uniport, open-ended, soft-tipped, wire-reinforced catheter (Arrow catheter) in obstetric patients. STUDY DESIGN:Prospective data collection for intradepartmental quality assurance. SETTING:Obstetric unit in a ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(00)00116-1

    authors: Jaime F,Mandell GL,Vallejo MC,Ramanathan S

    更新日期:2000-03-01 00:00:00