Curr Health Sci J, vol. 47, no. 4, 2021

Application of a Simulator-Based Teaching Method in the Training of the Flexible Bronchoscope-Guided Intubation

[Original Paper]

Q. Chen (1), Z. Hu (2), Q. Wang (2), Y. Yang (3), M. Li (4), Y. Ning (2), Q. Li (5), C. Bai (2), K. Tsakiridis (6), P. Zarogoulidis (7, 8), K. Sapalidis (7), D. Matthaios (9), C. Kosmidis (7), L. Freitag (10), J.F. Turner (11), A. Ioannidis (12), H. Huang (2)


(1)Department of Anesthesiology, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai, China,
(2)Department of Respiratory&Critical Care Medicine, Changhai Hospital, the Second Military Medical University, Shanghai, China,
(3)Department of Anesthesiology, Changhai Hospital, the Second Military Medical University, Shanghai, China,
(4)Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Kunming Medical University?Yunnan, China,
(5)Department of Respiratory and Critical Care Medicine, Oriental Hospital, Tongji University, Shanghai, China,
(6)Thoracic Surgery Department, ”Interbalkan” European Medical Center, Thessaloniki, Greece,
(7)3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece,
(8)Oncology Department, General Hospital of Rhodes, Greece,
(9)Surgery Department, “General Clinic Euromedica” Private Clinic, Thessaloniki, Greece,
(10)Department of Pulmonology, University Hospital Zurich, Switzerland,
(11)University of Tennessee Graduate School of Medicine, Department of Medicine, Knoxville, TN, USA,
(12)Surgery Department, “Genesis” Private Clinic, Thessaloniki, Greece


Abstract:

Background: The study aimed to explore the effect of a bronchoscopic simulator-based comprehensive teaching method in the training of flexible bronchoscope-guided intubation for suspected lung cancer patients for doctors without bronchofibroscopic operation background. Methods: We designed a prospective self-control study involved in 35 trainees from the Navy Military Medical University's affiliated hospital to evaluate flexible bronchoscope-guided intubation's training outcome. Before and after the practice training, we recorded the flexible bronchoscope passing time from nasal to visible glottis and carina, tracheal placement tube, and ventilation. Results: All 35 trainees could complete flexible bronchoscope-guided intubation independently after training. Conclusions: The bronchial diagnosis for suspected lung cancer patients and treatment-based model can be widely applied in tracheal intubation training.


Keywords:
Bronchoscopy, Intubation, Methodology, Sedation, lung cancer, single nodule, radial- EBUS, convex probe EBUS, 22G needle, 19G needle.



Corresponding:
Paul Zarogoulidis, 3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece, e-mail: pzarog@hotmail.com


DOI 10.12865/CHSJ.47.04.04 - Download PDF