EVALUATION OF EFFECTIVENESS OF A VIDEO ASSISTED LEARNING PROGRAMME IN  PLACEMENT OF DOUBLE LEUMEN TUBE USING  FLEXIBLE AMBUSCOPE USING A BRONCHOSCOPY SIMULATOR AMONGST ANAESTHESIOLOGY RESIDENTS

Dr Manish S Honwad; Dr Rishiraj N Verma

Volume : V, Issue : XI, November - 2016

EVALUATION OF EFFECTIVENESS OF A VIDEO ASSISTED LEARNING PROGRAMME IN PLACEMENT OF DOUBLE LEUMEN TUBE USING FLEXIBLE AMBUSCOPE USING A BRONCHOSCOPY SIMULATOR AMONGST ANAESTHESIOLOGY RESIDENTS

Dr Manish S Honwad, Dr Rishiraj N Verma

Abstract :

The aims of this study were to conduct an observational study to compare the efficacy of video assisted learning programme in evaluating the training effectiveness of placement of double leumen tubes using a flexible videoscope( Ambu@scope3) with onchoscopy simulator( Truecorp-Airsim onchi) for anaesthesiology residents. Materials and methods : Twenty six residents pursuing a post graduate degree course in Anaesthesiology were asked to place a double leumen tube using a flexible videoscope after one year experience in Anaesthesiology residency before and after 02 days training curriculum using a video assisted learning programme on a onchoscopy simulator. The primary outcome was measured by the performance of the procedure on Global rating Scale(GRS) of performance and Direct observation score (DOPS) using a checklist for the procedure for effective placement of a left sided double leumen tube. Secondary outcomes were time taken, avoidance of adverse events such as inappropriate endoonchial placement (too far in /out) and effective handling of fieoptic scope. Results : The results were analysed for effectiveness of the video based training programme based on Global rating Scale(GRS) of performance and Direct observation score (DOPS) using a checklist for the procedure . The performance of students after the video assisted programme was significantly better with higher scores for procedure achieved in short time of training. A video assisted training programme using high fidelity fiescopes and onchoscopy simulator is an effective method to train anaesthesia residents in onchoscopy and lung isolation techniques in a safe simulated environment