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Structured pre-delivery huddles enhance confidence in managing newborns with critical congenital heart disease in the delivery room.
J Perinatol
December 2024
Division of Newborn Medicine, Department of Pediatrics, Brigham & Women's Hospital, Boston, MA, USA.
Background: Newborns with critical congenital heart disease (CCHD) require specialized delivery room management, but varying experience and knowledge can reduce confidence and impact care.
Methods: A pre-delivery, structured huddle checklist was introduced, addressing team roles, expected physiology, and management plans. PDSA cycles incorporated guidelines and simulation-based education to improve confidence in specialized resuscitation strategies.
The Impact of Simulation-Based Training on Self-Efficacy in Sedation for Pediatric Magnetic Resonance Imaging.
Yonago Acta Med
May 2024
Division of Child Neurology, Department of Brain and Neurosciences, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
Background: In Japan, approximately 35% of facilities experience sedation-related complications for pediatric magnetic resonance imaging (MRI), including severe complications such as respiratory and cardiac arrests. In the medical education field, simulation improves not only the quality of real emergency response but also health care workers' self-efficacy. Individuals with high self-efficacy are better prepared at handling diverse conditions.
View Article and Find Full Text PDFCardiac resternotomy after cardiac surgery in kids: CRACK the chest.
Cardiol Young
August 2024
Division of Critical Care, Department of Pediatrics, Children's Hospital of Michigan/Central Michigan University, Detroit, MI, USA.
Objective: Emergent resuscitation of postoperative paediatric cardiac surgical patients requires specialised skills and multidisciplinary teamwork. Bedside resternotomy is a rare but life-saving procedure and few studies focus on ways to prepare providers and improve performance. We created a multidisciplinary educational intervention that addressed teamwork and technical skills.
View Article and Find Full Text PDFMastering Sedation and Associated Respiratory Events through Simulation-Based Training: A Randomised Controlled Trial Involving Non-Anaesthesiology Residents.
Eur J Investig Health Psychol Educ
February 2024
Medical Simulation Centre, Centre d'Apprentissage des Attitudes et Habiletés Cliniques (CAAHC), Université de Montréal, Pavillon Roger-Gaudry, 2900, Boulevard Édouard-Montpetit, 8e étage, Local N-805, Montréal, QC H3T 1J4, Canada.
Non-anaesthetists commonly administer procedural sedation worldwide, posing the risk of respiratory events that can lead to severe complications. This study aimed to evaluate whether simulation-based learning could lead to enhancements in the clinical proficiency of non-anaesthesiology residents in managing sedation and related respiratory complications. Following the evaluation of baseline clinical performance through a pre-test simulation, 34 residents were randomly allocated to either participate in an innovative simulation-based learning module (intervention group) or view a brief self-learning video (control group).
View Article and Find Full Text PDFChallenges for interprofessional simulation-based sedation training courses: Mini review.
Acute Med Surg
December 2023
Community Medicine Education Promotion Office, Faculty of Medicine Kagawa University Ikenobe Kita-gun Kagawa Japan.
Sedation for invasive procedures is given for various clinical purposes to patients of all ages worldwide. However, sedation is a continuum to general anesthesia and contains severe inherent risks leading to mortality. Providing a simulation-based sedation training course (SEDTC) to various medical staff could be an effective strategy to improve patient and medical safety associated with sedation.
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