Modelos de treinamento em anestesia
uma revisão sistemática
DOI:
https://doi.org/10.4322/prmj.2017.034Palabras clave:
treinamento por simulação, anestesia, educação médica, bloqueio nervosoResumen
Objetivo: avaliar o custo-efetividade dos simuladores utilizados no treinamento de anestesiologia. Método: revisão sistemática de artigos científicos indexados na base de dados MedLine, SciELo, Lilacs, ScienceDirect por meio dos descritores: “anesthesia training”, “simulation”, “anesthesia”, “medical education”, “training model” com o operador booleano “AND” e foram incluídos artigos publicados de 2000-2018 escritos em português, espanhol e inglês. Resultado: Foram observados 201 artigos dos quais 27 atendiam os critérios de inclusão. Conclusão: Devido à amplitude de simuladores, bem como de seus níveis de fidelidade e de custos, não foi possível relatar qual teria o melhor custo-efetividade. Foram verificados benefícios técnicos e éticos, contudo, ainda são necessários estudos com metodologias mais rigorosas e validadas para assegurar a efetividade dos simuladores de anestesia.
Descargas
Citas
Sparks S, Evans D, Byars D. A low cost, high fidelity nerve block model. Crit Ultrasound J. 2014 Ago;6(1):1-3. http://dx.doi.org/10.1186/s13089-014-0012-2 . PMid:25411589.
Solymos O, O’Kelly P, Walshe CM. Pilot study comparing simulation-based and didactic lecture-based critical care teaching for final-year medical students. BMC Anesthesiol. 2015 Maio;15(15):1-5. http://dx.doi.org/10.1186/s12871-015-0109-6. PMid:26490826 .
Al-Elq AH. Simulation-based medical teaching and learning. J Family Community Med. 2010 Jan-Abr;17(1):35-40. http://dx.doi.org/10.4103/1319-1683.68787 . PMid:22022669.
Chang CH. Medical simulation is needed in anesthesia training to achieve patient’s safety. Korean J Anesthesiol. 2013 Mar;64(3):204-11. http://dx.doi.org/10.4097/kjae.2013.64.3.204 . PMid:23560184.
Udani AD, Kim TE, Howard SK, Mariano ER. Simulation in teaching regional anestesia: current perspectives. Local Reg Anesth. 2015 Ago;8:33- 43. PMid:26316812.
Liaw SY, Chan SW, Chen FG, Hooi SC, Siau C. Comparison of virtual patient simulation with mannequin-based simulation for improving clinical performances in assessing and managing clinical deterioration: randomized controlled trial. J Med Internet Res. 2014 Set;16(9):e214. http://dx.doi.org/10.2196/jmir.3322 . PMid:25230684.
Corrêa CG, Machado MAAM, Ranzini E, Tori R, Nunes FLS. Virtual Reality simulator for dental anesthesia training in the inferior alveolar nerve block. J Appl Oral Sci. 2017;25(4):357-66. http://dx.doi.org/10.1590/1678-7757-2016-0386 . PMid:28877273.
Murray DJ. Progress in simulation education: developing an anesthesia curriculum. 2014 Dec; 27(6):610-5.
Cooper JB, Taqueti VR. A brief history of the development of mannequin simulators for clinical education and training. Qual Saf Health Care. 2004 Out;13(1 Suppl):i11-8. http://dx.doi.org/10.1136/qshc.2004.009886 . PMid:15465949.
Good ML. Patient simulation for training basic and advanced clinical skills. Med Educ. 2003 nov;37(1 Suppl 1):14-21. http://dx.doi.org/10.1046/j.1365-2923.37.s1.6.x . PMid:14641634.
Okuda Y, Bryson EO, DeMaria S Jr, Jacobson L, Quinones J, Shen B, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009 Ago;76(4):330-43. http://dx.doi.org/10.1002/msj.20127 . PMid:19642147.
Schwid HA. Anesthesia simulators – technology and applicantions. Isr Med Assoc J. 2000 dez;2(12):949-53 . PMid:11344786.
Mukherjee B, Venkatakrishnan JV, George B, Sivaprakasam M. Evaluation of an ophthalmic anesthesia simulation system for regional block training. Ophthalmology. 2015 Dez;122(12):2578-80. http://dx.doi.org/10.1016/j.ophtha.2015.07.021 . PMid:26319195.
Nyssen AS, Larbuisson R, Janssens M, Pendeville P, Mayné A. A comparison of the training value of two types of anesthesia simulators: computer screen-based and mannequin-based simulators. Anesth Analg. 2002 Jun;94(6):1560-5. http://dx.doi.org/10.1213/00000539-200206000-00035 . PMid:12032027.
Park CS. Simulation and quality improvement in anesthesiology. Anesthesiol Clin. 2011 Mar;29(1):13-28. http://dx.doi.org/10.1016/j.anclin.2010.11.010 . PMid:21295750.
Grottke O, Ntouba A, Ullrich S, Liao W, Fried E, Prescher A, et al. Virtual reality-based simulator for training in regional anaesthesia. Br J Anaesth. 2009 Out;103(4):594-600. http://dx.doi.org/10.1093/bja/aep224 . PMid:19706630.
Wong A. Review article: Teaching, learning, and the pursuit of excellence in anesthesia education. Can J Anaesth. 2012 Fev;59(2):171-81. http://dx.doi.org/10.1007/s12630-011-9636-x . PMid:22135210.
Baranauskas MB, Margarido CB, Panossian C, Silva ED, Campanella MA, Kimachi PP. Simulação de bloqueios periféricos guiados por ultra-som: curva de aprendizado dos residentes de anestesiologia do CET-SMA/HSL. Rev Bras Anestesiol. 2008;58(2):106-11. http://dx.doi.org/10.1590/S0034-70942008000200003 . PMid:19378529.
Nix CM, Margarido CB, Awad IT, Avila A, Cheung JJH, Dubrowski A, et al. A scoping review of the evidence for teaching ultrasound-guided regional anesthesia. Reg Anesth Pain Med. 2013 Nov./Dez;38(6):471-80. http://dx.doi.org/10.1097/AAP.0b013e3182a4ed7a . PMid:24108249.
Liu Y, Glass NL, Glover CD, Power RW, Watcha MF. Comparison of the development of performance skills in ultrasound-guided regional anesthesia simulations with different phantom models. Simul Healthc. 2013 Dez;8(6):368-75. http://dx.doi.org/10.1097/SIH.0b013e318299dae2 . PMid:24096912.
Lorello GR, Cook DA, Johnson RL, Brydges R. Simulation-based training in anaesthesiology: a systematic review and meta-analysis. Br J Anaesth. 2014 Fev;112(2):231-45. http://dx.doi.org/10.1093/bja/aet414 . PMid:24368556.
McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? a meta-analytic comparative review of the evidence. Acad Med. 2011 Jun;86(6):706-11. http://dx.doi.org/10.1097/ACM.0b013e318217e119 . PMid:21512370.
Chiu M, Tarshis J, Antoniou A, Bosma TL, Burjorjee JE, Cowie N, et al. Simulation-based assessment of anesthesiology residents’ competence: development and implementation of the Canadian National Anesthesiology Simulation Curriculum (CanNASC). Can J Anaesth. 2016 Dez;63(12):1357-63. http://dx.doi.org/10.1007/s12630-016-0733-8 . PMid:27638297.
Murray DJ. Current trends in simulation training in anesthesia: a review. Minerva Anestesiol. 2011 Maio;77(5):528-33. PMid:21540808.
Larsson J, Holmström I. Understanding anesthesia training and trainees. Curr Opin Anaesthesiol. 2012 Dez;25(6):681-5. PMid:23026803.
Pugh CM. Low-cost, locally fabricated simulators: the wave of the future. J Surg Res. 2011 Jun;168(1):29-30. http://dx.doi.org/10.1016/j. jss.2010.07.018 . PMid:20851416.
Woodworth GE, Chen EM, Horn JL, Aziz MF. efficacy of computer-based vídeo and simulation in ultrasound-guided regional anesthesia training. J Clin Anesth. 2014 Maio;26(3):212-27. http://dx.doi.org/10.1016/j.jclinane.2013.10.013 . PMid:24793714