The impact of exposure to liver transplantation anesthesia on the ability to treat intraoperative XXXX : a simulation experience.

@entity1 @entity1425 @entity1167 @entity6564 @entity12374 @entity4144
The objective of this study was to assess whether resident exposure to liver transplantation anesthesia results in improved @entity1 care during a simulated critical care scenario. Our hypothesis was that anesthesia residents exposed to liver transplantation anesthesia care would be able to identify and treat a simulated @entity6564 crisis after reperfusion more appropriately than residents who have not been involved in liver transplantation anesthesia care. Participation in liver transplantation anesthesia is not a mandatory component of the curriculum of anesthesiology training programs in the United States. It is unclear whether exposure to liver transplantation anesthesia is beneficial for skill set development. A high-fidelity @entity1 @entity1 simulation scenario was developed. Times for administration of @entity1425 , @entity12374 , and secondary @entity4144 treatment were recorded. A total of 25 residents with similar training levels participated: 13 residents had previous liver transplantation experience (OLT), whereas 12 residents had not been previously exposed to liver transplantations (non-OLT). The OLT group performed better in recognizing and treating the @entity6564 crisis than the non-OLT group. Pharmacologic therapy for @entity4144 was given earlier (OLT 53.3    27.0 seconds versus non-OLT 148    104.1 seconds; P < 0.01) and hemodynamics restored quicker (OLT 87.9    24.9 seconds versus non-OLT 219.9    87.1 seconds; P < 0.01). Simulation-based assessment of clinical skills is a useful tool for evaluating anesthesia resident performance during an intraoperative crisis situation related to liver transplantations. Previous liver transplantation experience improves the anesthesia resident's ability to recognize and treat @entity6564 @entity1167 .
