Anesthesia Management: Subdural Hemorrhage and Difficult Airway: A Flat-Screen Simulation and Interactive Debriefing

Publication ID Published Version
7891 January 14, 2010 1

Description

Anesthesiology residents, who have previously been taught to use a screen-based anesthesia simulator (Anesoft Anesthesia Simulator), are instructed to manage a simulated case of a patient with a subdural hemorrhage and a difficult airway. Learners work individually and anonymously. Once the simulation has been completed, the residents are debriefed. The debriefing consists of a PowerPoint presentation which includes a number of clinical management decisions. The learners are asked to respond to the management questions using an Audience Response System (Turning Point). The anonymous responses are shared with the group and then the instructor discusses the correct, and incorrect, answers.

The educational philosophy is based on experiential learning. First the learner is stressed to make management decisions in the simulation. Then the learner again has to make specific decisions, and the learner's response is compared to that of other members of the audience, and finally the learner gets the expert answer. Because the experience is anonymous, learner embarrassment is minimized. This format can be scaled up to any class size. This material is designed primarily for formative assessment but may be used for summative assessment as part of an OSCE.

Citation

Pott L, Budde A. Anesthesia Management: Subdural Hemorrhage and Difficult Airway: A Flat-Screen Simulation and Interactive Debriefing. MedEdPORTAL Publications; 2010. Available from: https://www.mededportal.org/​publication/​7891 http://dx.doi.org/​10.15766/​mep_2374-8265.7891

Educational Objectives

  1. To be able to demonstrate the ability to develop an adequate anesthetic management plan for a patient with a subdural hematoma.
  2. To demonstrate the ability to develop an adequate anesthetic management plan for a patient with a full stomach and a potentially difficult intubation.

Keywords

  • Anesthesia Management, Airway Management, Difficult Intubation, Subdural Hematoma (MeSH), Traumatic Brain Injuries (MeSH)

Specialties

  • Medical
    • Anesthesiology

Competencies

  • Knowledge for Practice
  • Patient Care
  • Practice-based Learning & Improvement

Professional Interest

  • Evaluation of Clinical Performance
  • Instructional Materials/Methods
  • Technology

Instructional Methods

  • Case-based Instruction/Learning
  • Independent Learning
  • Problem-based Learning (PBL)
  • Simulation

Academic Focus

  • Clinical Sciences
    • Clinical Skills/Doctoring

Intended Audience

  • Professional School
    • Medical Student
  • Professional School Post-Graduate Training
    • Resident

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ISSN 2374-8265