Evaluation of the Mediseus® epidural simulator

Lee, R. A., Van Zundert, T. C. R. V., Van Koesveld, J. J. M., Van Zundert, A. A. J., Stolker, R.- J., Wieringa, P. A. and Gatt, S. P. (2012) Evaluation of the Mediseus® epidural simulator. Anaesthesia and Intensive Care, 40 2: 311-318.

Author Lee, R. A.
Van Zundert, T. C. R. V.
Van Koesveld, J. J. M.
Van Zundert, A. A. J.
Stolker, R.- J.
Wieringa, P. A.
Gatt, S. P.
Title Evaluation of the Mediseus® epidural simulator
Journal name Anaesthesia and Intensive Care   Check publisher's open access policy
ISSN 0310-057X
Publication date 2012
Year available 2012
Sub-type Article (original research)
Open Access Status
Volume 40
Issue 2
Start page 311
End page 318
Total pages 8
Place of publication North Sydney, NSW Australia
Publisher Australian Society of Anaesthetists
Language eng
Formatted abstract
The demand for increased patient safety has led to greater use of simulation training of health professionals performing medical procedures. The study aim was to evaluate the usefulness of the Mediseus® Epidural Simulator in teaching basic epidural needle-handling skills. Three groups of 15 anaesthetists (Novice=zero to two year anaesthesia trainees; Intermediate=three- to five-year anaesthesia trainees; Expert=consultants and regional-specialist anaesthetists) from three different medical centres participated. Each participant performed 20 simulated epidural needle insertions and was scored on several parameters (e.g. time, success of the insertion, bone collisions). Following familiarisation with the simulator and the needle insertions, participants answered seven questions on the applicability of the simulator to the teaching of basic epidural needle-handling skills. There was a clear learning effect with regard to the simulation procedure time, this decreasing throughout the experiment (P=0.037). There was no significant influence of either group or experience with the simulator in the study on the number or type of errors made. The quality of the simulation was scored 2.3 out of 5.0 (for bone simulation) and 4.7 (for loss-of-resistance simulation). All groups considered that the simulator was best suited for training prospective anaesthetists. Each group rated the usefulness of the simulator for training novices at greater than 3.0 out of 5.0. The Mediseus® Epidural Simulator seems to be an appropriate training device for an introduction to epidural needle insertion. For medical professionals with procedural knowledge, the simulation is not realistic enough and the simulator did not distinguish between the groups based on the errors made.
Keyword Epidural
Q-Index Code E1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Created: Thu, 07 May 2015, 11:54:21 EST by Andre Van Zundert on behalf of Anaesthesiology and Critical Care - RBWH