Anesthesiology Research Today is a free monthly online journal that collates and summarizes the latest research about Anesthesiology, including details on clinical anesthesiology, evidence based practice, techniques.

Simulation education in anesthesia training: a case report of successful resuscitation of bupivacaine-induced cardiac arrest linked to recent simulation training.

Smith HM, Jacob AK, Segura LG, Dilger JA, Torsher LC

Department of Anesthesiology, Mayo Clinic College of Medicine 200 First Street SW, Rochester, MN 55905, USA.

Simulation training is rapidly becoming an integral element of the education curriculum of anesthesia residency programs. We report a case of successful resuscitation of bupivacaine-induced cardiac arrest treated with i.v. lipid emulsion by providers who had recently participated in simulation training involving a scenario nearly identical to this case. Upon debriefing, it was determined that the previous training influenced execution of the following steps: rapid problem recognition, prompt initiation of specific therapy in the setting of supportive advanced cardiac life support measures, and coordinated team efforts. Although the true cause of efficient resuscitation and ultimate recovery cannot be proven, the efficiency of the resuscitation process, including timely administration of lipid emulsion, is evidence that simulation may be useful for training providers to manage rare emergencies.

Published 18 April 2008 in Anesth Analg, 106(5): 1581-4, table of contents.
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