For the best experience, you can use Chrome or Safari. Thank you. Back Guidelines, Statements, Clinical Resources. Back Education and Career. Back Events. Back In the Spotlight. Back Podcasts. You can go at your own pace as you move through the simulation selecting the appropriate premedication and equipment. Once in the operating theater, you'll see the patient on the table flanked by monitors for the patient's vital statistics and status.
You'll need to administer the appropriate drugs and, as prompted by the doctor, respond throughout the procedure. The trial version only permits five-minute sessions, which isn't long enough to complete a case. Despite the stingy demo restrictions, MEDIQ Anaesthesia is a well-designed simulation program appropriate for any health-care professional.
Full Specifications. What's new in version 4. Release November 7, Date Added April 7, Version 4. Operating Systems. Total Downloads 6, Downloads Last Week 1. Report Software. Related Software. It enables standardised scenario building and reflective learning. Various non-technical aspects of an anaesthetist's day-to-day work could also be addressed to during such training.
The technology could be used very effectively for the assessment of competence too. Simulation has been used for technology development and appraisal over the years. As anaesthetists, we are involved in various tasks of patient care, which include use of rapidly acting drugs, operating complex devices and performing invasive procedures.
This demands safety at the same time. That is one of the reasons our specialty is often compared with the aviation industry. It is the moment of terror that demands exceptional skills and vigilance, akin to aviation. Flight simulation is an essential part of airline training.
It offers a safe environment otherwise impossible to imagine in real-life aviation. Anaesthesia as a specialty has remained at the forefront in using simulation for training.
This article is a brief introduction to the use of simulation in acute medical specialties and its potential uses in skills training, learning team work, competency testing and recruitment. Simulation has several potential applications in medical training and professional development in India. Simulation is a technique to replace or amplify real patient experiences with guided experiences, artificially contrived, which evokes or replicates substantial aspects of real world in a fully interactive manner.
Flight and aerospace simulators available in museums and entertainment theme parks can give a thrilling experience of aviation. With the help of a screen or a monitor, the visual experience is created. It is topped with seats moving on three axes in multiple planes and effective sound. This offers an exciting space travel simulation. As a simplistic form of clinical simulation, a model of human airway, can be used to teach airway skills.
Similarly, a mannequin can be used to demonstrate central venous, intra-osseous access or to perform endotracheal intubation. They are backed by complex software-based physiology.
The person operating this software can make the mannequin as realistic as a real patient [ Figure 1 ]. Thus, a mannequin can be made to blink the eyes, pupils can react to light, tongue swelling and vocal cord spasm may make it impossible to ventilate and intubate the mannequin.
The mannequin has mechanical internal structures similar to the human body. It has functional airway and lungs. The heart and circulatory systems are imitated by a compressor and a network of tubes, such that there will be heart beat and palpable pulses. Various organ systems can be made even more realistic by using coloured fluids — red fluid circulating as blood and yellowish fluid to fill the urinary bladder. A learner involved in mannequin-based simulation can feel the changes in airway, breathing, circulation etc.
An artificially created pneumothorax can be decompressed with a needle, making an audible sound of air, hissing from the chest with improved ventilation, or a successful venepuncture will result in aspiration of blood from the mannequin circulatory system.
The operation theatre environment created with props like anaesthetic machine, monitors, operating table and a team of people playing roles as surgeons and nurses makes the experience realistic.
A typical anaesthetic simulation involves a patient management scenario. A learner is asked to conduct an anaesthetic on a simulated patient. A member can answer with a voice-over to give history or complain of pain or difficulty in breathing, etc. During the scenario, using the associated software, the mannequin patient's condition is manipulated. This change will necessitate the learner to take appropriate corrective action, e.
When the learner tries to hand ventilate, it may be nearly impossible to do so. If the learner identifies the problem and takes corrective action, i. After the scenario, an observer from the faculty debriefs the learner.
It is quite common to record the scenario proceedings audiovisually. The recording can be played back to follow the course of events and the learner reactions. This way, one can observe the actions taken and resulting changes in mannequin physiology. Debriefing questions help reflective learning. Also, feedback from the observers can be used towards effective learning.
Hands-on experience in these scenarios is valuable in reinforcing the procedural skills. A simulation centre has a bank of scenarios programmed and successfully tested. Some examples of anaesthetic scenarios are rapid sequence induction, failed intubation and ventricular tachycardia in an anaesthetised patient. The content of sequence of events can be modified to suit the learning objectives.
Our modern day simulators have roots in early aviation trainers, like Sanders Teacher- an aeroplane skeleton with wooden frame and levers. Link trainer, built using various parts of an aircraft, is regarded as a foundation of flight simulators. World War II saw the development of analogue flight simulation trainers.
In the s, digital simulators started appearing on the horizon. From onwards, computer development saw tremendous improvement in fidelity, motion systems and latency. Capsuletech from France provide smart interfacing modules and software code to allow applications to easily and efficiently acquire data from a very wide range of medical devices. Chris Rorden's site has information on configuring an MS-DOS machine to a variety of time-critical data acquisition tasks and other goodies.
James Derrick has written ' Monitor ', a Mac application for datalogging and realtime trend display of patient data; special versions of this application have been developed to feedback control a variety of agents.
I have a page with information about making cables and software for connecting monitoring devices to computers emphasis on the Mac; useful for PC's also. Prologic distribute a medical datalogging application called NarkoData in German language only which can run on both Mac and Windows.
The complete manual is available in German. VantageMed develop billing, administrative, financial, management and clinical software solutions.
0コメント