Abstract:
:Because of an emphasis on patient safety and recognition of the effectiveness of simulation as an educational modality across multiple medical specialties, use of health-care simulation (HCS) for medical education has become more prevalent. In this article, the effectiveness of simulation for areas important to the practice of critical care is reviewed. We examine the evidence base related to domains of procedural mastery, development of communication skills, and interprofessional team performance, with specific examples from the literature in which simulation has been used successfully in these domains in critical care training. We also review the data assessing the value of simulation in other areas highly relevant to critical care practice, including assessment of performance, integration of HCS in decision science, and critical care quality improvement, with attention to the areas of system support and high-risk, low-volume events in contemporary health-care systems. When possible, we report data evaluating effectiveness of HCS in critical care training based on high-level learning outcomes resulting from the training, rather than lower level outcomes such as learner confidence or posttest score immediately after training. Finally, obstacles to the implementation of HCS, such as cost and logistics, are examined and current and future strategies to evaluate best use of simulation in critical care training are discussed.
journal_name
Chestjournal_title
Chestauthors
Seam N,Lee AJ,Vennero M,Emlet Ldoi
10.1016/j.chest.2019.07.011subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1223-1233issue
6eissn
0012-3692issn
1931-3543pii
S0012-3692(19)31385-6journal_volume
156pub_type
杂志文章,评审相关文献
CHEST文献大全abstract:BACKGROUND:The protein deacetylase sirtuin-1 (SIRT1) is an antiaging molecule that is decreased in the lung in patients with COPD. Recently, SIRT1 was reported to be detectable in serum, but serum SIRT1 (s120S) levels have not yet been reported in patients with COPD. METHODS:Serum SIRT1 protein of all samples was meas...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2017.05.004
更新日期:2017-08-01 00:00:00
abstract::Three patients had hypertrophic obstructive cardiomyopathy and coronary artery spasm. The clinical diagnosis of hypertrophic obstructive cardiomyopathy, in all patients, was confirmed by echocardiography and angiography. Significant spasm of the right coronary artery was demonstrated in each patient by selective coron...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.6.636
更新日期:1979-12-01 00:00:00
abstract:BACKGROUND:Cardiovascular comorbidities have a negative impact on the health status and prognosis of patients with COPD. We determined whether nocturnal noninvasive (positive) mechanical ventilation (NIMV) can improve heart rate variability (HRV), decrease circulating natriuretic peptide levels, and improve functional ...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.06-1423
更新日期:2007-01-01 00:00:00
abstract::We report a patient in whom cardiac magnetic resonance imaging detected a clinically unsuspected pulmonary artery thromboembolus. Follow-up MRI after surgical removal of the thromboembolus showed normal pulmonary arteries. This case illustrates the potential utility of MRI in the detection and follow-up of central pul...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.1.232
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Little is known about factors determining the pathogenesis and severity of asthma in Latin American countries. Costa Rica, one of the most prosperous Latin American nations, has a very high asthma prevalence. OBJECTIVE:To examine the relation between potential risk factors and childhood asthma in Costa Rica...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.3.785
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:Bedside ultrasound examination could be used to assess jugular venous pressure (JVP), and thus central venous pressure (CVP), more reliably than clinical examination. METHODS:The study was a prospective, blinded evaluation comparing physical examination of external jugular venous pressure (JVPEXT), internal...
journal_title:Chest
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.10-1301
更新日期:2011-01-01 00:00:00
abstract::One hundred forty patients with pleuropulmonary amebiasis were classified radiographically in order to rationalize therapy based on the use of metronidazole. Amebic testing with gel diffusion, serial chest x-ray films, and observation of the patient's response to treatment have dominated management of the patients, 13...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.5.647
更新日期:1978-05-01 00:00:00
abstract:STUDY OBJECTIVES:To determine whether, in patients with bilateral pleural effusions, the main cellular and biochemical features of the pleural fluid on the right side differ from or correlate with those on the left side. We examined lactate dehydrogenase (LDH), glucose, and total protein (TP) levels, RBC count, nucleat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.124.1.167
更新日期:2003-07-01 00:00:00
abstract::In many patients with central airway obstruction due to extrinsic compression or malacia, insertion of tracheobronchial stents can provide effective and permanent relief. Of the various types of prostheses described, the silicone Dumon-Artemis stents (Medicore, Brussels, Belgium) are probably the most efficient. The u...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.106.2.520
更新日期:1994-08-01 00:00:00
abstract::A case of idiopathic pulmonary hypertension is associated with portal venous thrombosis. The patient's chest roentgenogram revealed numerous nodular densities which at necropsy were found to have been caused by an exuberant fibroblastic reaction around small pulmonary arterioles. This is an example of the unusual asso...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.78.1.111
更新日期:1980-07-01 00:00:00
abstract:INTRODUCTION:The specific causes and mechanism(s) for asthma occurring among occupants of non-residential buildings with poor indoor air quality are not known, but allergic and nonallergic processes are possible explanations METHODS:Repeated indoor air quality measurements were made while employees were working in a b...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.3.1720
更新日期:2005-09-01 00:00:00
abstract::Fifty-seven patients with rheumatoid arthritis (RA) were treated in hospital for diffuse interstitial lung fibrosis. Although interstitial fibrosis (either on the basis of lung function tests or chest roentgenograms or both) is fairly common among patients with RA, according to this study interstitial fibrosis of suff...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.93.1.114
更新日期:1988-01-01 00:00:00
abstract::We studied the reproducibility of tests of RM performance in normal elderly subjects and compared their performance with that of patients with COPD. The RM strength was measured as MIP and MEP. The RM endurance was measured using a two-minute incremental threshold loading test. The max load, the average Ppk as %MIP at...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.1.90
更新日期:1989-01-01 00:00:00
abstract:STUDY OBJECTIVES:Strokes and neurocognitive dysfunction have been correlated with cerebral microemboli produced during cardiopulmonary bypass (CPB). The purpose of this study was to determine whether, and to what extent, off-pump coronary artery bypass (OPCAB) reduces the occurrence of cerebral microemboli compared wit...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.119.1.25
更新日期:2001-01-01 00:00:00
abstract::Unresectable carcinoma of the lung has traditionally been recognized as a contraindication to surgery in massive hemoptysis. A 60-year-old man had massive hemoptysis. At surgery an unresectable neoplastic mass invading the mediastinum and great vessels was encountered. Subtotal resection was accomplished using a stapl...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.2.234
更新日期:1979-08-01 00:00:00
abstract::This report describes a patient who developed gastric rupture as a result of post-extubation laryngeal edema and the use of a manual resuscitation bag. The association between oxygen administraton and gastric rupture is reviewed. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.3.324
更新日期:1979-09-01 00:00:00
abstract:BACKGROUND:Some patients with autoimmune characteristics and idiopathic interstitial pneumonia, particularly usual interstitial pneumonia (UIP), do not fit neatly into the category of connective tissue disease-associated interstitial lung disease (CTD-ILD), idiopathic pulmonary fibrosis (IPF), or recently proposed yet ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2017.03.004
更新日期:2017-07-01 00:00:00
abstract::Aortic valve atresia is usually associated with hypoplasia of the left ventricle and mitral valve. We report a patient presenting aortic atresia with ventricular septal defect and a normally sized left ventricle. The electrocardiogram showed left axis deviation and left ventricular hypertrophy. The ventricular septal ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.1.121
更新日期:1976-01-01 00:00:00
abstract:STUDY OBJECTIVE:We assessed whether transpleural methods for diagnosing peripheral lung cancer, such as needle aspiration or tumor excision, affect relapse and prognosis, because these techniques have potential to spread malignant cells from the tumor. DESIGN:A retrospective study. SETTING:National referral hospital....
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.5.1595
更新日期:2001-11-01 00:00:00
abstract::Several reports have implicated pregnancy as a cause of deterioration in patients with pulmonary arteriovenous fistulas. We report a 27-year-old woman with multiple pulmonary arteriovenous fistulas who required coil spring embolotherapy in her 24th week of pregnancy due to a spontaneous hemothorax and hypoxemia. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.6.1522
更新日期:1990-12-01 00:00:00
abstract::Intraoperative two-dimensional echocardiography allows visualization of cardiac anatomy and function not possible by other techniques. Although preoperative evaluation by noninvasive methods is usually adequate for diagnosis of cardiac tumors, two-dimensional echocardiography can be beneficial intraoperatively. Intrao...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.91.1.142
更新日期:1987-01-01 00:00:00
abstract::Initial evaluation of 22 patients with cystic fibrosis (CF) on entry into a trial of home oxygen therapy was used to elucidate the possible effects of poor nutritional status on exercise performance in CF. The patients had advanced lung disease (mean FEV1, 36 percent predicted) and all had a stable resting PaO2 less t...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.90.3.375
更新日期:1986-09-01 00:00:00
abstract:BACKGROUND:Obesity hypoventilation syndrome (OHS) conventionally includes awake hypercapnia, but an isolated raised bicarbonate, even in the absence of awake hypercapnia, may represent evidence of "early" OHS. We investigated whether such individuals exhibit certain features characteristic of established OHS. METHODS:...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-1279
更新日期:2015-02-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of this study was to investigate the basal level as well as the tumor necrosis factor (TNF)-alpha- and interferon (IFN)-gamma-induced expression and release of the neutrophil chemoattractants interleukin (IL)-8 and growth-related oncogene (GRO)-alpha in primary bronchial epithelial cells (PBECs)...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.125.5.1706
更新日期:2004-05-01 00:00:00
abstract::Human lung mast cells have been reported recently to contain small amounts of the elastolytic protease present in the neutrophil and implicated in the pathogenesis of alveolar wall destruction in emphysema. Since mast cells are numerous within alveolar walls, release of inflammatory mediators (and possibly elastase) b...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.1.119
更新日期:1988-07-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the interaction between craniofacial structure and obesity in male patients with obstructive sleep apnea (OSA). DESIGN:Retrospective analysis of a cohort of OSA patients. The relationships between neck circumference (NC), body mass index, apnea severity, and craniofacial and upper airway so...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.2.375
更新日期:1995-08-01 00:00:00
abstract::A CO2 rebreathing method for the measurement of cardiac output was evaluated by comparison with the direct Fick O2 method in 26 studies performed in 18 patients who were critically ill. The method requires measurement of CO2 output by collection of expired gas, of arterial PCO2, and of mixed venous PCO2 by rebreathing...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.73.2.167
更新日期:1978-02-01 00:00:00
abstract::Symptoms consistent with hypersensitivity pneumonitis (HP) occurred in 26 of 50 employees working in a localized area of a large factory. This area was served by a single heating-cooling unit utilizing a water humidification system. The illness consisted of flu-like symptoms with fever, chills, headache, cough, dyspne...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.77.2.183
更新日期:1980-02-01 00:00:00
abstract:BACKGROUND:Successful management of chronic cough has varied in the primary research studies in the reported literature. One of the potential reasons relates to a lack of intervention fidelity to the core elements of the diagnostic and/or therapeutic interventions that were meant to be used by the investigators. METHO...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.15-0164
更新日期:2015-07-01 00:00:00
abstract:STUDY OBJECTIVE:To obtain information about the diagnosis and management of primary pulmonary hypertension (PPH), especially about the use of epoprostenol (Glaxo-Wellcome; Research Triangle Park, NC) in this patient population. BACKGROUND:Long-term IV epoprostenol therapy was approved recently for use in patients with...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.5.1269
更新日期:1998-11-01 00:00:00