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Adquirir habilidades no manejo de crises de hipertermia maligna: comparacao de simulacao de alta-fidelidade versus estudo de caso em computador

Authordc.contributor.authorMejía Díaz, Vilma 
Authordc.contributor.authorGonzález, Carlos 
Authordc.contributor.authorDelfino, Alejandro 
Authordc.contributor.authorAltermatt, Fernando 
Authordc.contributor.authorCorvetto, Marcia 
Cita de ítemdc.identifier.citationRev Bras Anestesiol. 2018; 68(3):292-298es_ES
Abstractdc.description.abstractIntroduction: The primary purpose of this study was to compare the effect of high fidelity simulation versus a computer-based case solving self-study, in skills acquisition about malignant hyperthermia on first year anesthesiology residents. Methods: After institutional ethical committee approval, 31 first year anesthesiology residents were enrolled in this prospective randomized single-blinded study. Participants were randomized to either a High Fidelity Simulation Scenario or a computer-based Case Study about malignant hyperthermia. After the intervention, all subjects' performance in was assessed through a high fidelity simulation scenario using a previously validated assessment rubric. Additionally, knowledge tests and a satisfaction survey were applied. Finally, a semi-structured interview was done to assess self-perception of reasoning process and decision-making. Results: 28 first year residents finished successfully the study. Resident's management skill scores were globally higher in High Fidelity Simulation versus Case Study, however they were significant in 4 of the 8 performance rubric elements: recognize signs and symptoms (p = 0.025), prioritization of initial actions of management (p = 0.003), recognize complications (p = 0.025) and communication (p = 0.025). Average scores from pre- and post test knowledge questionnaires improved from 74% to 85% in the High Fidelity Simulation group, and decreased from 78% to 75% in the Case Study group (p = 0.032). Regarding the qualitative analysis, there was no difference in factors influencing the student's process of reasoning and decision-making with both teaching strategies. Conclusion: Simulation-based training with a malignant hyperthermia high-fidelity scenario was superior to computer-based case study, improving knowledge and skills in malignant hyperthermia crisis management, with a very good satisfaction level in anesthesia residents. (C) 2018 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. This is an open access article under the CC BY-NC-ND licensees_ES
Publisherdc.publisherSociedade Brasileira de Anestesiologiaes_ES
Type of licensedc.rightsAttribution-NonCommercial-NoDerivs 3.0 Chile*
Link to Licensedc.rights.uri*
Sourcedc.sourceRevista Brasileira de Anestesiologiaes_ES
Keywordsdc.subjectMedical educationes_ES
Keywordsdc.subjectPatient simulationes_ES
Keywordsdc.subjectSimulation traininges_ES
Keywordsdc.subjectMalignant hyperthermiaes_ES
Títulodc.titleAdquirir habilidades no manejo de crises de hipertermia maligna: comparacao de simulacao de alta-fidelidade versus estudo de caso em computadores_ES
Title in another languagedc.title.alternativeAcquiring skills in malignant hyperthermia crisis management: comparison of high-fidelity simulation versus computer-based case studyes_ES
Document typedc.typeArtículo de revistaes_ES
Indexationuchile.indexArtículo de publicación ISIes_ES

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Attribution-NonCommercial-NoDerivs 3.0 Chile
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Chile