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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
Autor | dc.contributor.author | Mejía Díaz, Vilma | |
Autor | dc.contributor.author | González, Carlos | |
Autor | dc.contributor.author | Delfino, Alejandro | |
Autor | dc.contributor.author | Altermatt, Fernando | |
Autor | dc.contributor.author | Corvetto, Marcia | |
Fecha ingreso | dc.date.accessioned | 2018-08-09T20:31:52Z | |
Fecha disponible | dc.date.available | 2018-08-09T20:31:52Z | |
Fecha de publicación | dc.date.issued | 2018 | |
Cita de ítem | dc.identifier.citation | Rev Bras Anestesiol. 2018; 68(3):292-298 | es_ES |
Identificador | dc.identifier.issn | 0034-7094 | |
Identificador | dc.identifier.other | 10.1016/j.bjan.2018.01.005 | |
Identificador | dc.identifier.uri | https://repositorio.uchile.cl/handle/2250/150836 | |
Resumen | dc.description.abstract | Introduction: 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 license | es_ES |
Idioma | dc.language.iso | pt | es_ES |
Publicador | dc.publisher | Sociedade Brasileira de Anestesiologia | es_ES |
Tipo de licencia | dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Chile | * |
Link a Licencia | dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/cl/ | * |
Fuente | dc.source | Revista Brasileira de Anestesiologia | es_ES |
Palabras claves | dc.subject | Medical education | es_ES |
Palabras claves | dc.subject | Patient simulation | es_ES |
Palabras claves | dc.subject | Anesthesia | es_ES |
Palabras claves | dc.subject | Education | es_ES |
Palabras claves | dc.subject | Simulation training | es_ES |
Palabras claves | dc.subject | Malignant hyperthermia | es_ES |
Título | dc.title | Adquirir habilidades no manejo de crises de hipertermia maligna: comparacao de simulacao de alta-fidelidade versus estudo de caso em computador | es_ES |
Titulo en otro idioma | dc.title.alternative | Acquiring skills in malignant hyperthermia crisis management: comparison of high-fidelity simulation versus computer-based case study | es_ES |
Tipo de documento | dc.type | Artículo de revista | |
Catalogador | uchile.catalogador | apc | es_ES |
Indización | uchile.index | Artículo de publicación ISI | es_ES |
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