MAPS: Educational Initiatives

Control Room OB

All levels of anesthesia learners including the medical student anesthesiology interest group participant, anesthesia resident, CRNA, anesthesia ancillary support and clinical engineering are supported in our simulation training exercises.

The large surgical presence and dedication to simulation-based training allows us to look at team dynamics and develop offerings that go beyond the traditional skill driven training.

All levels of anesthesia learners from the medical student anesthesiology interest group participant, anesthesia residents, CRNAs, anesthesia ancillary support groups and clinical engineering are supported in our simulation training exercises.

A robust curriculum using high fidelity human patient simulators (mannequin- based) and fully interactive team simulations have been developed and deployed.

School of Medicine, Undergraduate Education

A key function of the Anesthesiology Simulation Program is to help medical students enhance their airway skills and learn basic ventilator management. Our Anesthesia Simulation faculty is actively involved with medical students throughout the school year by developing airway workshops for teaching indications for intubation, practice airway intubation techniques, and assess patients prior to intubation.  

Anesthesia faculty teach an Introduction to Basic Airway Management course for 2nd year medical students in conjunction with the Department of Emergency Medicine. The course covers airway equipment, bag-mask-valve ventilation, and direct laryngoscopy. In addition, 3rd and 4th year medical students rotating on the Trauma Anesthesia rotation complete the Trauma Airway Management course conducted for all emergency medicine and anesthesia residents when starting their rotation with the Division of Trauma Anesthesiology.  

Anesthesia/Pulmonary clinical correlation and simulation courses are offered to more senior medical students which concentrate on airway evaluation and steps to performing a successful intubation. Techniques in performing diagnostic laryngoscopy and confirmation of intubation are also reviewed. 

Anesthesiology Residency Program

Task Training Sessions:

Airway_training2
  • Introduction to Simulation
  • Anesthesia Information System (Metavision) Charting
  • Airway I: difficult airway techniques: cricothyroidotomy, fiberoptic bronchoscopy, VR bronchoscopy
  • Airway II: difficult airway techniques: retrograde wires, Fastrach LMA, Aintree Intubation Catheter
  • Airway III: difficult airway techniques: Supraglottic techniques, Chest tubes, Double lumen exchange
  • Arterial line placement; FloTrac technology; Placement and interpretation of pulmonary artery catheters
  • Central Line Insertion: sterile technique, identification of landmarks, ultrasound guidance
  • Difficult Airway Management & ASA Algorithm
  • Interosseus access (IO), Lumbar drains and IVC catheter management
  • Pediatric Anesthesia Techniques: intravenous access, IO access, caudal blocks
  • OB skills: fetal monitoring, blood patches, combined spinal/epidural

Multidisciplinary Team Training Scenarios:

Carotid_model
  • Airway Fires 
  • Anaphlyaxis 
  • Autonomic Hyperreflexia 
  • Cardiac Anesthesia Scenarios: Protamine reaction, myocardial ischemia, pericardial effusion 
  • Carotid Endarterectomy 
  • Complications on Induction: Hypotension 
  • Difficult Airway Scenarios 
  • Epidural Task Training, Obstetric Hemorrhage, Parturient Emergency Management, Neonatal Resuscitation 
  • Intracranial Hypertension & Principles of Neuroanesthesia 
  • Loss Airway in prone position 
  • Malignant Hyperthermia 
  • OB Trauma 
  • One-Lung Ventilation: Bilateral sympathectomy, decortication, VATS lobectomy (bronchial blockers, uninvent, and double lumen ett) 
  • PACU Scenarios: Tracheostomy decannulation and Local anesthetic toxicity 
  • TeamStepps, CRM and Communication: Trauma Scenarios 
  • Venous Air Embolism
Laerdal_airway_manequin

Graduate Medical Education:

  • Airway Management
  • Crisis Resource Management
  • Communication/Team Training
  • Interdepartmental training scenarios