title: Simulation Manikin Modifications for High-Fidelity Training of Advanced Airway Procedures.
abstract: Thoracic anesthesia procedures are challenging to master during anesthesia training. A Laerdal ALS Simulator® manikin was modified by adding a bronchial tree module to create fidelity to the fourth generation. After modification, placement of endotracheal tubes up to 8.0 mm is possible by direct laryngoscopy, video laryngoscopy, and fiberoptically; in addition, it allows fiberoptically guided insertion of endobronchial blockers. Insertion of left and right 35-Fr double-lumen tubes permits double- and single-lung ventilation with continuous positive airway pressure and positive end-expiratory pressure. This anatomical modification created a high-fidelity training tool for thoracic anesthesia that has been incorporated into educational curricula for anesthesia.
authors.affiliation: From the Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California; and Simulation Center, San Francisco VA Medical Center, San Francisco, California.
authors.forename: Jan
authors.initials: J
authors.lastname: Hirsch
authors.forename: Jose R
authors.initials: JR
authors.lastname: Generoso
authors.forename: Renee
authors.initials: R
authors.lastname: Latoures
authors.forename: Yahya
authors.initials: Y
authors.lastname: Acar
authors.forename: Richard L
authors.initials: RL
authors.lastname: Fidler
mesh_terms: D058109:Airway Management / Q000379:methods*; D004867:Equipment Design / Q000379:methods*; D000070856:High Fidelity Simulation Training / Q000379:methods*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D007828:Laryngoscopy / Q000379:methods; D008348:Manikins