BACKGROUND Critical care airway management (CCAM) is a key skill for critical care physicians. Simulation based training (SBT) may be an effective modality in training intensivists in CCAM. RESEARCH QUESTION This study examines whether SBT of critical care fellows is an effective means of providing training in CCAM, with focus on urgent endotracheal intubation. STUDY DESIGN and Methods: A total of thirteen first year pulmonary critical care medicine (PCCM) fellows at an academic training program underwent SBT with a computerized patient simulator (CPS) in their first month of fellowship training. At the end of the training period, the fellows underwent video-based scoring using a 46-item checklist (of which 40-points could be scored) while performing a complete CCAM sequence on the CPS. They were then tested using video-based scoring on their first real-life CCAM. Maintenance of skill at CCAM was assessed during the fellows' second and third year of training using the same scoring method. RESULTS For the first-year fellows, the score on the CPS was 38.3 +/- 0.75 S.D. out of maximum score of 40. The score on their first real-life patient CCAM was 39.0 +/- 0.81 S.D. (p-value = 0.003 for equivalence, 95% CI for difference between real-life patient CCAM and CPS scores 0.011, 1.373). A total of sixteen second- and third-year fellows were tested at a real-life CCAM event later in their fellowship to examine for maintenance of skill. The mean maintenance of skill score of this group was 38.7 +/- 1.14 S.D. INTERPRETATION Skill acquired through SBT of critical care fellows for CCAM transfers effectively to the real-life patient care arena. Second- and third-year fellows who had initially received SBT maintained skill at CCAM.

中文翻译：

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重症监护气道管理模拟培训：使用小型视频记录设备评估临床实践的转化

背景重症监护气道管理（CCAM）是重症监护医师的一项关键技能。基于模拟的培训 (SBT) 可能是在 CCAM 中培训重症医师的有效方式。研究问题 本研究检验重症监护研究员的 SBT 是否是提供 CCAM 培训的有效手段，重点是紧急气管插管。研究设计和方法：在学术培训计划中，共有 13 名一年级肺重症监护医学 (PCCM) 研究员在他们进修培训的第一个月接受了使用计算机化患者模拟器 (CPS) 的 SBT。在培训期结束时，学员在 CPS 上执行完整的 CCAM 序列时，使用 46 项检查表（其中 40 分可评分）进行基于视频的评分。然后在他们的第一个真实 CCAM 上使用基于视频的评分对他们进行了测试。在学员的第二年和第三年培训期间，使用相同的评分方法评估了 CCAM 的技能保持情况。结果 对于第一年的研究员，CPS 的得分为 38.3 +/- 0.75 SD，最高得分为 40。他们的第一个真实患者 CCAM 的得分为 39.0 +/- 0.81 SD（p 值 = 0.003对于等效性，真实患者 CCAM 和 CPS 评分之间差异的 95% CI 为 0.011、1.373）。共有 16 名二年级和三年级研究员在他们的奖学金后期在真实的 CCAM 活动中接受了测试，以检查技能的保持情况。该组技能得分的平均维持率为 38.7 +/- 1.14 SD 解释 通过 CCAM 重症监护研究员的 SBT 获得的技能有效地转移到现实生活中的患者护理领域。最初接受 SBT 的二年级和三年级研究员在 CCAM 保持技能。