Emergency airway training: "Who are you going to FONA?"
front of neck access
simulation
tracheostomy
Journal
Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
ISSN: 1749-4486
Titre abrégé: Clin Otolaryngol
Pays: England
ID NLM: 101247023
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
11
11
2019
revised:
22
02
2020
accepted:
21
07
2020
pubmed:
3
8
2020
medline:
23
11
2021
entrez:
3
8
2020
Statut:
ppublish
Résumé
To demonstrate face and content validity of a home-made simulation model as a training tool for front of neck access (FONA) procedures. This was a prospective evaluation study, in which experienced otolaryngologists and trainees were recruited to complete 3 tasks using our FONA model. The study was completed during regular simulation training days and international conferences. A total of 52 participants completed the questionnaire and were included in the study; 25 were experts and 27 were trainees. All participants completed a validated 15-item questionnaire using a 5-point likert scale to assess the model across 4 domains: face validity (FV), global content (GC), task-specific content (TSC) and curriculum applicability (CTR). There were no statistically significant differences between the groups ratings for FV, GC, TSC or CTR (P = .76, .13, .4 and .67, respectively). The model achieved a median FV of 4 (IQR 4-5) with the agreement of experienced and trainee groups (68.9% and 92%, respectively). The median GC validity score was 5 (IQR 4-5) with the agreement of 87.6% and 98.4% in respected groups. The model achieved a median TSC of 4.8 (IQR 4-5) with the agreement of 54.5% and 99% in respected groups. The median CTR score was 5 (IQR 4-5) with the agreement of 54.4% and 100% in respected groups. Our home-made FONA model achieved face and content validity for training and is safe and affordable for teaching basic front of neck access skills to otolaryngology trainees.
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
889-895Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
Aggarwal R, Hance J, Darzi A. Surgical education and training in the new millennium. Surg Endosc. 2004;18:1409-1410.
Sam J, Pierse M, Al-Qahtani A, Cheng A. Implementation and evaluation of a simulation curriculum for paediatric residency programs including just-in time in situ mock codes. Paediatr Child Health. 2012;17(2):e16-e20.
Zendejas B, Brydges R, Hamstra SJ, Cook DA. State of the evidence on simulation-based training for laparoscopic surgery: a systematic review. Ann Surg. 2013;257(4):586-593.
McGaghie WC, Draycott TJ, Dunn WF, Lopez CM, Stefanidis D. Evaluating the impact of simulation on translational patient outcomes. Simul Healthc. 2011;6:42-47.
Cook TM, Woodall N, Frerk C. Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: Anaesthesia. Br J Anaesth. 2011;106:617-631.
Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115:827-848.
Mendonca C, Ahmad I, Sajayan A, et al. Front of neck access: A survey among anesthetists and surgeons. J Anaesthesiol Clin Pharmacol. 2017;33(4):462-466.
Khere G, Milburn J, Hornby S, Malone P. Simulation in Surgical Training. The Association of Surgeons Training. 2011.
Intercollegiate Surgical Curriculum Programme [Internet]. London: Joint Committee on Surgical Training; [updated 2018 Aug 01; cited 2020 Feb 18]. Availiable from: https://www.iscp.ac.uk/curriculum/surgical/curriculum_framework.aspx
Terragni P, Mascia L, Faggiano C, et al. A new training approach in endoscopic percutaneous tracheostomy using a simulation model based on biological tissue. Minerva Anestesiol. 2016;82(2):196-201.
Arora H, Uribe J, Ralph W, et al. Assessment of construct validity of the endoscopic sinus surgery simulator. Arch Otolaryngol Head Neck Surg. 2005;131(3):217-221.
Steehler MK, Pfisterer MJ, Na H, Hesham HN, Pehlivanova M, Malekzadeh S. Face, content, and construct validity of a low-cost sinus surgery task trainer. Otolaryngol Head Neck Surg. 2012;146(3):504-509.
Arora A, Khemani S, Tolley N, et al. Face and content validation of a virtual reality temporal bone simulator. Otolaryngol Head Neck Surg. 2012;146(3):497-503.
Andrews JD, Nocon CC, Small SM, Pinto JM, Blair EA. Pinto JM Blair EA Emergency airway management: training and experience of chief residents in otolaryngology and anesthesiology. Head Neck. 2012;34(12):1720-1726.
Awad Z, Pothier DD. Management of surgical airway emergencies by junior ENT staff: a telephone survey. J Laryngol Otol. 2007;121(1):57-60.
Botto FS, Ingrassia PL, Donato P, et al. Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy. JoVE (Journal of Visualized Experiments). 2019;147:e59396.
Walsh R, Heiner J, Kang C, Hile D, Deering S. Emergency physician evaluation of a novel surgical cricothyroidotomy tool in simulated combat and clinical environments. Mil Med. 2013;178(1):29-33.
Hall C, Andrew B. Randomized objective comparison of live tissue training versus simulators for emergency procedures. Am Surg. 2011;77(5):561-565.
John B, Suri I, Hillermann C, Mendonca C. Comparison of cricothyroidotomy on manikin vs. simulator: a randomised cross-over study. Anaesthesia. 2007;62(10):1029-1032.
Aho JM, Thiels CA, AlJamal YN, et al. Every surgical resident should know how to perform a cricothyrotomy: an inexpensive cricothyrotomy task trainer for teaching and assessing surgical trainees. J Surg Educ. 2015;72(4):658-661.
Girzadas Jr DV, Clay L, Caris J, Rzechula K, Harwood R. High fidelity simulation can discriminate between novice and experienced residents when assessing competency in patient care. Med Teach. 2007;29(5):472-476.