Impacto y beneficio de la simulación clínica en el desarrollo de las competencias psicomotoras en anestesia: un ensayo clínico aleatorio doble ciego

SUMMARYIntroductionProper medical care for patients in emergency conditions, requires cognitive and psychomotor skills related to the management of the airway and vein channeling. Simulations surge in recent decades as a pedagogical tool that complements traditional training.ObjectivesTo compare the effectiveness, learning curve and complications in conducting orotracheal intubation, insertion of laryngeal mask and vein channeling done by students who base their learning in the simulation, and students whose process focuses on clinical practice.MethodologyRandomized double-blind, 29 fourth year medicine students received a process of theoretical instruction supported by multimedia on the procedures studied thereafter at random. Students were divided into two groups. A first group that received training in simulation mannequins until the complete jurisdiction and a second group of control which proceeded to clinical management. An assessment tool with maximum score of 200 was used by the evaluators; averages were compared among the two groups in terms of effectiveness, learning curve, and complications.ResultsThere were no significant differences in the orotracheal intubation assessments, however, significant differences were revealed while preparing the same, where the simulation group got better grades than the control group, in the insertion of a laryngeal mask. No significant differences were found between groups, in vein channeling procedures. The rate of complications did not differ between groups either.Conclusionsthe group instruction based on simulation got better grades that instruction based on just clinical knowledge for the insertion of laryngeal mask study, but not for tracheal intubation or vein channeling studies