High-Fidelity Simulation-Based Education: Description of an Original Crisis Resource Management and Sedation Learning for Dental Surgeons.

Issam Tanoubi,Arnaud Robitaille,Marie-Ève Bélanger,Mihai Georgescu,Roger Perron,Pierre Drolet

doi:10.3390/ejihpe12020008

Abstract

Dental surgery includes invasive procedures performed under sedation or monitored anesthesia care (MAC). It is associated with respiratory risks, resulting in death or neurological sequelae without prompt and appropriate management. Management of airway complications also implies mastering crisis resource management (CRM) principles, essentially non-technical skills to improve patient safety. In response to the need to enhance patient safety and to securely perform surgical procedures outside the operating room due to reduced surgical activity during the worldwide spread of the COVID-19 pandemic, we realized, in our simulation center, a course based on high fidelity simulation to teach procedural sedation and management of related complications. The simulation center accredited this educational program as a continuing professional development formation. The course includes technical skills practice, theoretical presentation, and mastering non-technical skills related to CRM principles. This brief report describes a relatively innovative teaching technique in dentistry, highlights its interest, and reports the subjective opinion of learners as to the pedagogical and professional impact of this training. A learner’s satisfaction survey supports the utility of our sedation and CRM programs. A high degree of satisfaction and perceived value reflect robust learners’ engagement. All medical specialties should encourage high-fidelity simulation continuing professional development courses that incorporate technical skills and crisis management principles.

Highlights

Publisher’s Note: MDPI stays neutralDentistry and maxillofacial surgery include minimally invasive surgical procedures, usually performed outside the operating room under sedation or monitored anesthesia care (MAC)
We have developed a learning program of MAC administration at our simulation center, management of complications related to sedation, and crisis resource management (CRM) learning, designed for with regard to jurisdictional claims in published maps and institutional affiliations
Sedation is delicate to provide; it ranges from an anxiolysis to general anesthesia, and the patient should be in the perfect state for the procedure

Summary

Introduction

Dentistry and maxillofacial surgery include minimally invasive surgical procedures, usually performed outside the operating room under sedation or monitored anesthesia care (MAC). Practitioners provide MAC without additional human resources specific for patient monitoring. Complications related to MAC are rare but can lead to severe consequences without early and adequate management. The suboptimal control of sedation-related complications is usually associated with a lack of resources. In the context of dental and maxillofacial surgery outside the operating room, the missing resources are human (medical specialists, health personnel) and practical and theoretical cognitive order. Theoretical and practical learning of safe administration and management of complications related to MAC to non-anesthesiologist seems mandatory [1]

Objectives

Methods

Results

Discussion

Conclusion