Abstract
Based on the American Society of Anesthesiologists’ Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists (ASA-SED), a sedation training course aimed at improving medical safety was developed by the Japanese Association for Medical Simulation in 2011. This study evaluated the effect of debriefing on participants’ perceptions of the essential points of the ASA-SED.A total of 38 novice doctors participated in the sedation training course during the research period. Of these doctors, 18 participated in the debriefing group, and 20 participated in non-debriefing group. Scoring of participants’ guideline perceptions was conducted using an evaluation sheet (nine items, 16 points) created based on the ASA-SED.The debriefing group showed a greater perception of the ASA-SED, as reflected in the significantly higher scores on the evaluation sheet (median, 16 points) than the control group (median, 13 points; p < 0.05). No significant differences were identified before or during sedation, but the difference after sedation was significant (p < 0.05).Debriefing after sedation training courses may contribute to better perception of the ASA-SED, and may lead to enhanced attitudes toward medical safety during sedation and analgesia.
Highlights
Sedation is performed in various medical procedures and examinations
In 2011, the Japanese Association for Medical Simulation developed a simulation-based sedation training course (SEDTC), with the goal of improving the safety of sedation and analgesia performed by non-anesthesiologists
In the first twelve courses, we did not apply debriefing and discussion and we evaluated the effect of debriefing from 13th courses
Summary
Sedation is performed in various medical procedures and examinations. In 1993, the American Society of Anesthesiologists published the Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists (ASA-SED), which was updated in 2002. These guidelines set forth recommendations and cautions for non-anesthesiologists to ensure safe and effective sedation and analgesia. Safe sedation requires preoperative patient examination, confirmation of fasting time, appropriate monitoring, adequate emergency equipment, compliance with drug. In 2011, the Japanese Association for Medical Simulation developed a simulation-based sedation training course (SEDTC), with the goal of improving the safety of sedation and analgesia performed by non-anesthesiologists. Participants in the course are expected to demonstrate (1) appropriate preparation for sedation, (2) appropriate management of drug-induced hypoxia and/or shock, and (3) effective communication skills (Komasawa et al.)
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