title: Airway management education: simulation based training versus non-simulation based training-A systematic review and meta-analyses.
abstract: Simulation-based training (SBT) has become a standard for medical education. However, the efficacy of simulation based training in airway management education remains unclear.
  
  
  
  The aim of this study was to evaluate all published evidence comparing the effectiveness of SBT for airway management versus non-simulation based training (NSBT) on learner and patient outcomes. Systematic review with meta-analyses were used. Data were derived from PubMed, EMBASE, CINAHL, Scopus, the Cochrane Controlled Trials Register and Cochrane Database of Systematic Reviews from inception to May 2016. Published comparative trials that evaluated the effect of SBT on airway management training in compared with NSBT were considered. The effect sizes with 95% confidence intervals (CI) were calculated for outcomes measures.
  
  
  
  Seventeen eligible studies were included. SBT was associated with improved behavior performance [standardized mean difference (SMD):0.30, 95% CI: 0.06 to 0.54] in comparison with NSBT. However, the benefits of SBT were not seen in time-skill (SMD:-0.13, 95% CI: -0.82 to 0.52), written examination score (SMD: 0.39, 95% CI: -0.09 to 0.86) and success rate of procedure completion on patients [relative risk (RR): 1.26, 95% CI: 0.96 to 1.66].
  
  
  
  SBT may be not superior to NSBT on airway management training.
authors.affiliation: Department of Anesthesiology, Beijing Tong Ren Hospital, Capital Medical University, Beijing, China. sun00017@gmail.com.
authors.forename: Yanxia
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Department of Anesthesiology, Beijing Tong Ren Hospital, Capital Medical University, Beijing, China.
authors.forename: Chuxiong
authors.initials: C
authors.lastname: Pan
authors.affiliation: Department of Anesthesiology, Beijing Shi Ji Tan Hospital, Capital Medical University, Beijing, China.
authors.forename: Tianzuo
authors.initials: T
authors.lastname: Li
authors.affiliation: Department of Anesthesiology, Stony Brook University, Stony Brook, USA.
authors.forename: Tong J
authors.initials: TJ
authors.lastname: Gan
mesh_terms: D058109:Airway Management; D004501:Education, Medical / Q000379:methods*; D006801:Humans; D000066908:Simulation Training
keywords: Airway management; Simulation; Training