Simulation training at the point of care to decrease the incidence of airway complications on the intensive care unit

Abstract

A recent analysis of critical incidents reported to the National Patient Safety Agency (NPSA) by ICUs in the UK revealed a significant number of airway incidents in critical care [1]. We recently performed an online survey with responses from 305 trainees from across the UK regarding airway management and complications on the ICU. The results revealed a high number of adverse airway events including 27 deaths. A large number of junior trainees (many of whom cover the ICU alone at night) expressed low confidence levels with airway management in critical care, and the majority of all trainees felt inexperienced with tracheostomy care and emergencies. Simulation has been recommended as a suitable way of providing critical incident training [2], and simulation at the point of care has been shown to be especially powerful and effective [3].

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