Anesthesia Student Survival Guide.pdf - Index of

CliniCAl simulAtion in AnesthesiA eduCAtion ● 511
the simulation laboratory, you may wish that all of your clinical encounters in
the “real” world were observed and debriefed.
Some encounters will have pre-scenario reading or other preparation; however,
most encounters will give you no advance idea regarding the case content.
Either way, there are reasons behind the approach.
The final expectation of you is feedback on the process and content of the
simulation and debriefing. Just as you will receive feedback on your performance,
the staff at the simulation laboratory desire feedback on the scenario.
How Do You Make the Best of the Simulation Experience?
The best way to take advantage of the simulation experience is to be openminded
and behave as you would in real life. Again, this is an opportunity to
have feedback on your performance and reasoning by someone more expert
than you are. There are not many other situations in training where you will be
directly observed as you will be in the simulation laboratory.
Case Study
It is the last day of your rotation. You are doing a case completely by yourself
in the simulator. You are surprised by how nervous you felt in the beginning,
as if the patient you are caring for is not the mannequin in front of you but a
real patient. But there is no attending guiding you, and you have heard that
sometimes things go very wrong in the simulator. You are not being graded,
but you are being videotaped, and you know that your fellow students and
the instructors will be reviewing your performance. But so far it has been
a quiet case. Your “patient” is undergoing an abdominal operation under
general anesthesia. You handled the application of monitors, induction of anesthesia,
mask ventilation and endotracheal intubation like a pro. The patient
is being mechanically ventilated. You are using desflurane, nitrous oxide,
fentanyl, and vecuronium for anesthesia. You are using standard monitors and
have a peripheral 18 G IV in place. Blood loss has been about 100 mL but the
surgeons anticipate more later in the case, and you have blood available in the
blood bank. You are feeling pretty good about yourself, thinking that you might
enjoy anesthesiology as a career.After all, you have learned a ton of the basics
in your period, and here you are doing a case pretty much by yourself!
Suddenly, all the lights in the room go off and the room falls into an inky
blackness and eerie quiet.