Auteur(s) : Bézu Nicolas
Composante : MEDECINE
Date de création : 30-06-2019

Description : Médecine (anesthésie réanimation), Objective: Airway management is a daily issue for Anesthetists. A patient asleep, with impossible oxygenation nor intubation (Can’t intubate, Can’t oxygenate, CICO), is uncommon but can have serious complications. We studied the skills retention a year after a single simulation traning of a front of neck access (FONA) for the workers of our hospital. Methods: It was a prospective, cross over, unblinded, monocentric study in Strasbourg university hospital. We included junior and senior physicians from pediatric ICU, junior ENT surgeons and anesthetists nurses. All learned a percutaneous Seldinger technic of FONA, and a surgical technic. Main judgment criteria was the time of to perform each technic a year after the learning simulation training. Results: We included 35 professionals from Strasbourg university hospital between March 2018 and August 2019. Every learner succeeded having efficient ventilation with both technics. Surgical technic was faster than Seldinger for each session. Procedural time in 2018: Surgical: 37 +/- 21 sec Versus Seldinger 57 +/- 15 sec p-0,0001. Time in 2019: Surgical 28 +/- 14 sec Versus Seldinger 67 +/- 25 sec, p- 0,0001. There was a faster procedural time for Surgical technic between 2018 and 2019, whereas we noticed a slower procedural time for Seldinger technic. Conclusion: One year after a single simulation training of FONA, every learner succeeded to perform each technic. The surgical technic was faster and had better retention than Seldinger technic. This study highlights the great long-term retention of vital emergency by simulation training. Further studies could evaluate very long-term skill retention, after 2,5 or 10 years.
Mots-clés libres : Voies aériennes supérieures (anatomie), Anesthésie en pédiatrie, Médecine -- Étude et enseignement -- Simulation, Méthodes de, Thèses et écrits académiques, 617.5 Chirurgie topographique
Couverture : FR