Abstract

GOMEZ, Luz María et al. Impacto y beneficio de la simulación clínica en el desarrollo de las competencias psicomotoras en anestesia: un ensayo clínico aleatorio doble ciego. Rev. colomb. anestesiol. [online]. 2008, vol.36, n.2, pp.93-107. ISSN 0120-3347.

Introduction. Proper medical care for patients in emergency conditions, requires cognitive and psychomotor skills related to the management of the airway and vein channeling. Simulations surge in recent decades as a pedagogical tool that complements traditional training.Objectives: to compare the effectiveness, learning curve and complications in conducting orotracheal intubation, insertion of laryngeal mask and vein channeling done by students who base their learning in the simulation, and students whose process focuses on clinical practice.methodology: randomized doubleblind, 29 fourth year medicine students received a process of theoretical instruction supported by multimedia on the procedures studied thereafter at random. Students were divided into two groups. A frst group that received training in simulation mannequins until the complete jurisdiction and a second group of control which proceeded to clinical management. An assessment tool with maximum score of 200 was used by the evaluators; averages were compared among the two groups in terms of effectiveness, learning curve, and complications.Results: here were no signifcant differences in the orotracheal intubation assessments, however, signifcant differences were revealed while preparing the same, where the simulation group got better grades than the control group, in the insertion of a laryngeal mask. No signifcant differences were found between groups, in vein channeling procedures. The rate of complications did not differ between groups either. Conclusions: the group instruction based on simulation got better grades that instruction based on just clinical knowledge for the insertion of laryngeal mask study, but not for tracheal intubation or vein channeling studies.

Keywords : simulation; learning curve; skill; orotracheal intubation; laryngeal mask; venous channeling; competence.

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