Self-reported changes in attitude and behavior after attending a simulation-aided airway management course

J Clin Anesth. 2007 Nov;19(7):517-22. doi: 10.1016/j.jclinane.2007.04.007.

Abstract

Study objective: To evaluate the influence of a simulator-aided course for airway management on participants' daily clinical airway management practice.

Design: Survey instrument.

Setting: University hospital.

Participants: 88 participants who attended a simulator-aided course for airway management.

Intervention: Six mo after 4 consecutive courses with identical structure and content, participants were mailed a standardized questionnaire to answer.

Measurements and main results: Of 88 participants queried, 48 completed the questionnaire. Ninety-two percent had experienced a difficult airway situation in the 6 mo after the course. Fourteen (29%) evaluated predictors for a difficult airway more carefully. Fourteen (29%) established structural changes within their departments. Ten (21%) participants acquired new technical airway devices. The mean estimated impact on the participants' rating for lectures, skill stations, and scenarios on a scale from 1 (very helpful) to 6 (not at all helpful) was 2.8 for lectures, 1.6 for skill stations, and 1.4 for scenarios.

Conclusions: Attendance at a simulator-aided airway management course has a significant impact on self-reported accuracy and confidence in evaluation of airways, use of alternative airway devices, and changes in the practitioner's clinical practice toward difficult airway situations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anesthesia, Inhalation*
  • Anesthesiology / education*
  • Anesthesiology / instrumentation
  • Attitude of Health Personnel*
  • Clinical Competence
  • Education, Medical, Continuing*
  • Humans
  • Intubation, Intratracheal*
  • Laryngeal Masks
  • Laryngoscopy
  • Manikins*
  • Preoperative Care
  • Respiration, Artificial*
  • Self-Assessment
  • Surveys and Questionnaires