Discussion
epiglottitis
EPIGLOTTITIS
This study shows a significant performance improvement for fiberoptic intubations on normal airways for the group who trained only on normal airways. In contrast, training on a variety of difficult airways did not translate to performance improvement on (other) difficult airway scenarios or on a normal airway.Simulation appears as a new tool allowing learners to achieve a satisfactory skill level before practice. Graeser In their study on validating the ORSIMThe main finding of our study is thus that the learning may initially be limited to the actual scenario and the degree with which learning extends to other scenarios remains unclear (but clinically important). It may be necessary to introduce repetitive training sessions of each difficult scenario before the full benefits would become apparent.Although training on a variety of difficult airways for group D did not translate to performance improvement, it did seem to lead to a reduction of perceived difficulty level some scenarios (for the severe epiglottitis scenario). Similarly, acquisition of expertise level for group N significantly reduced the perception of difficulty on the normal airway scenario. In practice, we can often observe that stress and perception of difficulty can have a negative impact on performance—and training is probably the only way to remedy this [Yang 