罗马尼亚在欧洲麻醉学模拟教育和培训（SBET）课程框架下的国家先进气道管理（NAAM）方案

IF 0.7 Q3 ANESTHESIOLOGY

Trends in Anaesthesia and Critical Care Pub Date : 2025-05-24 DOI:10.1016/j.tacc.2025.101563

Claudiu Bârsac , Alina Petricā , Dorel Sāndesc , Diana Lungeanu , Şerban Bubenek , Marc Lazarovici , Doris Østergaard , Cosmin Bălan , Janos Szederjesi , Anca Irina Ristescu , Horațiu Nicolae Vasian , Crina L. Burlacu

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引用次数: 0

摘要

背景罗马尼亚麻醉与重症监护学会（SRATI）与欧洲麻醉与重症监护学会（ESAIC）和欧洲模拟学会（SESAM）合作，确定了与国际指南一致的高级气道管理培训的需求。本研究的目的是描述罗马尼亚国家高级气道管理（NAAM）课程的规划、发展、指导和实施；以及评估住院医师认为的NAAM的内容、方法和学习目标的实现情况。方法NAAM项目采用四步方法：目标需求分析；2. 培训教员(TTT);3. 住院医师培训的整合；4. 参与居民评价。在2023年2月至2024年4月期间，来自五个模拟中心的400名居民参加了该课程，其中186人对课程设计和方法提供了匿名反馈，并报告了课程前和课程后的信心分数。结果snaam显著提高了居民管理困难气道的自我感知信心(在5分李克特量表上增加1分以上，使用Wilcoxon签名秩检验p <；每项自我评估技能0.001)。参与者还报告了对八个技能站和模拟会话的高满意度得分，每个会话的中位数（四分位数范围）为5（4-5）分。结论NAAM项目成功提高了罗马尼亚麻醉学培训水平。它可以作为其他欧洲国家实施国家SBET规划的模式，解决类似的气道管理和/或麻醉培训中的其他差距。试验注册不适用。

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A National Advanced Airway Management (NAAM) programme in Romania under the framework of a European curriculum for Simulation-Based Education and Training (SBET) in anaesthesiology

Background

The Romanian Society of Anaesthesia and Intensive Care (SRATI) in collaboration with the European Society of Anaesthesiology and Intensive Care (ESAIC) and the Society for Simulation in Europe (SESAM) have identified a need for advanced airway management training aligned to international guidelines. The aims of this study are to describe the planning, development, conduction and implementation of a National Advanced Airway Management (NAAM) course in Romania; and, to evaluate the NAAM content, methodology, and achievement of learning objectives, as perceived by the residents.

Methods

The NAAM project followed a four-step approach: 1. Target needs analysis; 2. Train-the-Trainer (TTT); 3. Integration in residents’ training; 4. Evaluation by the participating residents. Between February 2023 and April 2024, 400 residents from five simulation centres attended the course, out of which 186 provided anonymous feedback on the course design and methodology, and reported pre- and post-course confidence scores.

Results

NAAM significantly improved residents’ self-perceived confidence in managing difficult airways (more than 1 point increase on a 5-point Likert scale, with Wilcoxon signed−rank test p < 0.001 for each self-assessed skill). Participants also reported high satisfaction scores with the eight skills stations and simulation sessions, with a median (inter-quartile range) of 5 (4–5) points for each session.

Conclusion

The NAAM programme has successfully enhanced the Romanian anaesthesiology training. It may serve as a model for implementing national SBET programmes in other European countries, addressing similar airway management and/or other gaps in anaesthesiology training.