["The intensive care simulator": a new teaching-concept to train severe sepsis management].
OBJECTIVE
In addition to basic research and development of new therapeutic strategies, the education of health care professionals who manage sepsis patients is an important step to decrease the high mortality of severe sepsis. Patient simulators are increasingly used for teaching in anaesthesia. A training program in sepsis management was developed, using a full-scale anaesthesia simulator including the setting of a modern intensive care unit, and its results were evaluated by means of a questionnaire.


METHODS
The simulator is controlled from a separate room using a controlling computer provided with physiological models and pharmacokinetic as well as pharmacodynamic patterns of substances commonly used in anaesthesia and intensive care. An important element of the training program is the subsequent debriefing with different modules, according to the individual deficits and needs of the participants detected during simulation.


RESULTS
From September 2002 to July 2004 82 physicians participated in the training program. 4 weeks after the training 52 % of the participants stated that they had changed their treatment behaviour due to the training content. They assessed the interactive simulator workshop semiquantitatively on a scale from 1 ("absolutely correct") to 7 ("not correct at all") as follows: Sepsis simulation training (SST) improves identification (mean+/-SD) (2.3 +/- 1.3) and treatment (2.5 +/- 1.2) of patients with severe sepsis, and SST including true-life scenarios is more appropriate than traditional lectures (1.5 +/- 0.7).


CONCLUSIONS
The presented SST could be an effective way to train intensive care specialists in severe sepsis management.
Breuer
G
G
Klinik für Anästhesiologie der Friedrich-Alexander Universität Erlangen-Nürnberg. georg.breuer@kfa.imed.uni-erlangen.de
Riss
R
R
Schröder
T
T
Mönk
S
S
Schüttler
J
J
D000758:Anesthesia / Q000379:methods; D003198:Computer Simulation; D004502:Education, Medical, Continuing; D005858:Germany; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D018805:Sepsis / Q000401:mortality / Q000628:therapy*