Human patient simulation and its role in endoscopic sedation training.

Patient simulation is now considered to be a valid method for the education and evaluation of providers of sedation. Using full-scale human simulators to provide a realistic setting, participants can acquire skills for patient monitoring, administration of sedation medications, and the recognition and management of critical events. Although obstacles to its implementation exist, it appears likely that simulation training will become an integral part of training for providers of procedural sedation.

[1]  M. Cohen,et al.  The Validity of Performance Assessments Using Simulation , 2001, Anesthesiology.

[2]  Mark A. Warner,et al.  Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters , 2011, Anesthesiology.

[3]  Randall E. Brand,et al.  The time and financial impact of training fellows in endoscopy , 2000 .

[4]  Erik J. Schoon,et al.  Expert and construct validity of the Simbionix GI Mentor II endoscopy simulator for colonoscopy , 2007, Surgical Endoscopy.

[5]  James Aisenberg,et al.  AGA Institute review of endoscopic sedation. , 2007, Gastroenterology.

[6]  M S Gordon,et al.  Cardiology patient simulator. Development of an animated manikin to teach cardiovascular disease. , 1974, The American journal of cardiology.

[7]  J B Cooper,et al.  A brief history of the development of mannequin simulators for clinical education and training , 2004, Quality and Safety in Health Care.

[8]  L. Cohen,et al.  Propofol for endoscopic sedation: A protocol for safe and effective administration by the gastroenterologist. , 2003, Gastrointestinal endoscopy.

[9]  Ross J. Scalese,et al.  Simulation Technology for Skills Training and Competency Assessment in Medical Education , 2007, Journal of General Internal Medicine.

[10]  Markman Hd,et al.  A new system for teaching proctosigmoidoscopic morphology. , 1969 .

[11]  Welcome Guimera,et al.  Practice Guidelines for Sedation and Analgesia by Non- Anesthesiologists , 2005 .

[12]  H. Berkenstadt,et al.  Credentialing and certifying with simulation. , 2007, Anesthesiology clinics.

[13]  A F Merry,et al.  Simulators for use in anaesthesia , 2007, Anaesthesia.

[14]  D. Rex,et al.  Safety of propofol administered by registered nurses with gastroenterologist supervision in 2000 endoscopic cases. , 2002 .

[15]  D. Gaba,et al.  A comprehensive anesthesia simulation environment: re-creating the operating room for research and training. , 1988, Anesthesiology.

[16]  D. Rex,et al.  Nurse-administered propofol sedation without anesthesia specialists in 9152 endoscopic cases in an ambulatory surgery center , 2003, American Journal of Gastroenterology.

[17]  A. Ziv,et al.  Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review , 2005, Medical teacher.

[18]  J. Dankelman,et al.  Construct validity and assessment of the learning curve for the SIMENDO endoscopic simulator , 2007, Surgical Endoscopy.

[19]  D. Gaba,et al.  Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents. , 1992, Aviation, space, and environmental medicine.

[20]  T. Egan,et al.  Teaching Sedation and Analgesia with Simulation , 2004, Journal of Clinical Monitoring and Computing.

[21]  Amitai Ziv,et al.  Patient safety and simulation-based medical education , 2000, Medical teacher.

[22]  D. Desilets,et al.  Training in patient monitoring and sedation and analgesia. , 2007, Gastrointestinal endoscopy.

[23]  David M. Gaba,et al.  Simulation-Based Training in Anesthesia Crisis Resource Management (ACRM): A Decade of Experience , 2001 .

[24]  Robert A. Smith,et al.  Supplemental oxygen impairs detection of hypoventilation by pulse oximetry. , 2004, Chest.

[25]  I. R. Hart,et al.  Simulation and new learning technologies , 2001, Medical teacher.

[26]  R. Walls Manual of Emergency Airway Management 3e , 2008 .

[27]  J. Marks,et al.  Resident training in flexible gastrointestinal endoscopy: a review of current issues and options. , 2007, Journal of surgical education.

[28]  J. S. Denson,et al.  A computer-controlled patient simulator. , 1969, JAMA.

[29]  M. Silveira 1. Joint Commission Accreditation Healthcare Organizations. 2006 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook, Ill: Joint Commission Resources; 2006. , 2006 .

[30]  Ake Grenvik,et al.  From Resusci-Anne to Sim-Man: the evolution of simulators in medicine. , 2004, Critical care medicine.

[31]  Elizabeth Lyden,et al.  The time and financial impact of training fellows in endoscopy , 2000, American Journal of Gastroenterology.

[32]  A. Wall,et al.  Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95 , 2000 .

[33]  D. Gaba,et al.  Crisis Management in Anesthesiology , 1993 .

[34]  D M Gaba,et al.  Improving anesthesiologists' performance by simulating reality. , 1992, Anesthesiology.

[35]  J. W. Mayer,et al.  Cardiology patient simulator and computer‐assisted instruction technologies in bedside teaching , 1990, Medical education.

[36]  S. Kantsevoy,et al.  Training guideline for use of propofol in gastrointestinal endoscopy , 2004 .

[37]  J. Rosenberg,et al.  Pulse Oximetry and Supplemental Oxygen During Gastrointestinal Endoscopy: A Critical Review , 1996, Endoscopy.

[38]  S D Small,et al.  Anesthesia crisis resource management: real-life simulation training in operating room crises. , 1995, Journal of clinical anesthesia.