The development of anesthesia simulators and OR-simulated settings was critical in the implementation and growth of ACRM as trainees and practitioners needed a safe venue to experience cases that challenged them in diagnostic problem solving, fixation errors, and poor teamwork in order to train and gain ACRM skills.ĪCRM was an outgrowth of the patient safety movement that began in anesthesia in the early 1980s in America. ACRM provided anesthesia trainees with tools similar to those that made the complex dynamic world of aviation safer through decision making and crisis resource management. 13,14 These investigators established a framework and curriculum to teach individual and team leadership skills, along with effective communication styles. To reconcile this schism, the anesthesia crisis resource management (ACRM) program was developed based on the commercial aviation model: Crew Resource Management. 12–14 Today, in the complex, rapidly changing, time-pressured environment of the operating room (OR), anesthesiologists are challenged beyond static decision making, especially when identifying and resolving crises and leading interdisciplinary teams. In a 1987 review of anesthesia training, gaps were identified in decision making and crisis management and diagnostic decisions were found to be relatively static. Cooper, in A Practice of Anesthesia for Infants and Children (Sixth Edition), 2019 Simulation-Based Training in Anesthesia Anesoft’s simulations may be completed for continuing medical education credits, and the company invites users to create and submit new cases, with technical and programming support from Anesoft.Ĭhristine L. The majority of the display is made up of the vital signs, similar to a display seen in the OR ( Fig. The simulator includes a library of available drugs, which is extensive but not exhaustive, and photographs of relevant actions such as the mask being placed over the patient’s face, the view on laryngoscopy, and the movement of the bellows on the anesthesia machine. The anesthesia simulator comprises 32 cases, ranging from a routine induction, to familiarize the user with the simulator interface, to elevated intracranial pressure, diabetic ketoacidosis, eclampsia, and malignant hyperthermia, among other conditions. Each simulator includes multiple case scenarios that address various clinical situations. The Anesoft Corporation ( ) offers downloads and compact discs of various screen-based simulators, including cases in anesthesiology, critical care, advanced cardiac lifesaving, obstetrics, and pediatrics. Thackeray, in Anesthesia Equipment (Second Edition), 2013 Case-Based Simulators
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