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New ! Simulation Training!

Why Simulator Training?   The simulator provides an interactive system to teach both psychomotor skills and crisis resource management for anesthesia students.  Certain patient situations are uncommon and therefore a trainee seldom gains experience in managing rare but clinically significant problems.  Also, simulators dynamically illustrate difficult concepts such as intrapulmonary shunting, uptake and distribution of inhaled anesthetics, and invasive hemodynamic monitoring techniques.  With simulators, you will build your skills and practice unusual events to achieve the best outcome in crisis management.
Difficult Airway Module:
The realistic upper airway anatomy of our METI Emergency Care Simulator is modeled on CT scan data of an actual  patient. Direct laryngoscopy, oral, and nasal tracheal intubation can be performed under a variety of standard and difficult airway scenarios.  Features include:

  • difficult airway conditions of pharyngeal obstruction, swollen tongue, laryngospasm, left and right bronchial obstruction for scenarios:
    -   'Cannot Intubate, Can Ventilate'

    -   'Cannot Intubate, Cannot Ventilate'

  • physiological response to drugs including induction agents, sedatives, paralytics, analgesics, and anesthetic gases

  • spontaneous breathing with realistic chest movement and exhaled CO2 flow to confirm placement of airway devices

  • bag/Valve/Mask ventilation, endotracheal tube intubation, LMA placement

  • tracheal access through the neck for transtracheal jet ventilation, needle or surgical cricothyrotomy

More information on features of the simulator are available in this pdf file Pgs 1-3 describe airway features; pgs 4-7 describe the pulmonary system features; pg 8 describes cardiovascular system features; pgs 9-11 describe pharmacology features; pgs 12-14 describe fluids features; pg 15 shows the waveform display monitor with the parameters that will be available continuously during the simulation. 

Here are links to Quicktime movies on features of the simulator:
Airway movie; Pulmonary movie; Cardiovascular movie.

Click here if you need linked for free download of the Quicktime player.


Clinical Skills Workshops

Each year, the program conducts workshops to build clinical skills in key areas of anesthesia.  Small groups of 4-6 students work with a clinical instructor on airway management procedures, insertion of central venous catheters, and regional anesthesia methods. 
Select links in the figure legend text to be directed to more detailed information.  Scroll to the bottom of the page for a list of interesting anesthesia websites.


Students work with a Spinal Injection Simulator and  Regional Anesthesia Trays to build skill with spinal and epidural anesthesia techniques.
 
 
 
An Airway Management Trainer facilitates training in use of a variety of laryngoscopes, placement of laryngeal mask airways, and endotracheal intubation procedures.

The reusable LMA Fastrach™ is an advanced type of Laryngeal Mask Airway (LMA™) designed to facilitate tracheal
intubation with an endotracheal tube (ETT).  The LMA Fastrach™ can be used in anticipated or unexpected difficult airway situations and for cardiopulmonary resuscitation.


The Clinical Skills Workshop provides required experience with fiberoptic laryngoscopes.


Some situations rarely occur in the OR so there is little opportunity to observe let alone gain experience.  However, it is critical to gain experience with the potentially life-saving technique of  cricothyrotomy.  Shown here is a student using a cricothyrotomy simulator.

 


Pig tracheas provide a more realistic opportunity to place a Melker Cricothyrotomy Catheter.

 


Dissection of the pig trachea provides a unique view of airway anatomy.

 


The Central Venous Cannulation Simulator is anatomically accurate for palpation of the sternal notch, sternocleidomastoid, and clavicle.  Internal features include  subclavian, internal jugular, external jugular, and carotid. Use of a Swan-Ganz catheter is possible. 

 



Links to Recommended Websites

Virtual Anesthesia Textbook

Anesthesia Basic Procedures Streaming Video

Martindale's Virtual Medical Center - Anesthesia

New York School of Regional Anesthesia

Pulmonary Artery Catheter Education Project (PACEP)

Update in Anesthesia
 
(practical advice for those working in isolated or difficult environments)

Historical Anesthesia Equipment

Anesthesia and Pain History on the Internet

Global Anesthesiology Server Network (Gasnet)
   Management of the Difficult Airway    Hemodynamic Optimization   Pulse Oximetry

Regional Anesthesia Study Center of Iowa

Virtual Anesthesia Machine (Univ. Florida simulation)

Capnography Principles and Applications

Central Venous Catheter Nursing Care Guidelines (Arrow)

Animated Heart - Univ. Utah School of Medicine

Heart Sounds and Arrhythmias - Blaufuss Multimedia

ECG interpretation  - Univ. Wisconsin Medical School 

ECG Learning Center - Univ. Utah School of Medicine

American Association of Nurse Anesthetists

American Society of Anesthesiologists

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