Power Outage: A Simulation Case for Anesthesiology Residents
Introduction Power outages in the OR are rare. However, anesthesia providers must be prepared to manage these situations until power is restored or their patient can be moved to a safe area. These situations occur so infrequently that many learners do not experience these events during their trainin...
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Association of American Medical Colleges
2025-05-01
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11523 |
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| author | Luke Johnson Ezoza Rajabaliev Kristin Canipe Michael R. Kazior |
| author_facet | Luke Johnson Ezoza Rajabaliev Kristin Canipe Michael R. Kazior |
| author_sort | Luke Johnson |
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| description | Introduction Power outages in the OR are rare. However, anesthesia providers must be prepared to manage these situations until power is restored or their patient can be moved to a safe area. These situations occur so infrequently that many learners do not experience these events during their training. We designed a high-fidelity power outage simulation for anesthesiology residents to fill this training gap and enhance their preparedness and confidence. Methods In each simulation session consisting of up to four learners, one or two PGY 3/PGY 4 residents participated as anesthesiologists in a case involving an intraoperative power loss during a routine inguinal hernia repair of a patient under general anesthesia. After the simulation, residents received a debriefing focused on intraoperative power outage training. After concluding the debriefing, residents completed a 5-point Likert scale survey to assess their confidence in managing an intraoperative power loss. Results Over 2 years, 22 anesthesiology residents completed the simulation. Residents’ mean ratings of confidence in managing a patient in the OR during a power outage improved by 1.2 points (p =.001), confidence in monitoring vital signs improved by 1.4 (p = .001), and confidence in planning appropriate disposition improved by 0.9 (p =.001). All participants found the simulation highly valuable. Discussion The anesthesiology-specific simulation proved to be an effective educational tool. Feedback was positive as residents agreed that the simulation was valuable for developing clinical reasoning and decision-making skills, significantly boosting their confidence to respond effectively and maintain patient safety. |
| format | Article |
| id | doaj-art-94110a5cd4654838a51befd01ecc0933 |
| institution | OA Journals |
| issn | 2374-8265 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj-art-94110a5cd4654838a51befd01ecc09332025-08-20T02:11:21ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652025-05-012110.15766/mep_2374-8265.11523Power Outage: A Simulation Case for Anesthesiology ResidentsLuke Johnson0Ezoza Rajabaliev1Kristin Canipe2Michael R. Kazior3Third-Year Medical Student, Virginia Commonwealth University School of MedicineThird-Year Resident, Department of Anesthesiology, Virginia Commonwealth University School of MedicineSimulation Educator, Center for Human Simulation and Patient Safety, Virginia Commonwealth University School of MedicineAssistant Professor, Department of Anesthesiology, Virginia Commonwealth University Health; Staff Physician, Department of Anesthesiology, Richmond VA Medical CenterIntroduction Power outages in the OR are rare. However, anesthesia providers must be prepared to manage these situations until power is restored or their patient can be moved to a safe area. These situations occur so infrequently that many learners do not experience these events during their training. We designed a high-fidelity power outage simulation for anesthesiology residents to fill this training gap and enhance their preparedness and confidence. Methods In each simulation session consisting of up to four learners, one or two PGY 3/PGY 4 residents participated as anesthesiologists in a case involving an intraoperative power loss during a routine inguinal hernia repair of a patient under general anesthesia. After the simulation, residents received a debriefing focused on intraoperative power outage training. After concluding the debriefing, residents completed a 5-point Likert scale survey to assess their confidence in managing an intraoperative power loss. Results Over 2 years, 22 anesthesiology residents completed the simulation. Residents’ mean ratings of confidence in managing a patient in the OR during a power outage improved by 1.2 points (p =.001), confidence in monitoring vital signs improved by 1.4 (p = .001), and confidence in planning appropriate disposition improved by 0.9 (p =.001). All participants found the simulation highly valuable. Discussion The anesthesiology-specific simulation proved to be an effective educational tool. Feedback was positive as residents agreed that the simulation was valuable for developing clinical reasoning and decision-making skills, significantly boosting their confidence to respond effectively and maintain patient safety.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11523SimulationPower OutageAnesthesiologyCritical Care Medicine |
| spellingShingle | Luke Johnson Ezoza Rajabaliev Kristin Canipe Michael R. Kazior Power Outage: A Simulation Case for Anesthesiology Residents MedEdPORTAL Simulation Power Outage Anesthesiology Critical Care Medicine |
| title | Power Outage: A Simulation Case for Anesthesiology Residents |
| title_full | Power Outage: A Simulation Case for Anesthesiology Residents |
| title_fullStr | Power Outage: A Simulation Case for Anesthesiology Residents |
| title_full_unstemmed | Power Outage: A Simulation Case for Anesthesiology Residents |
| title_short | Power Outage: A Simulation Case for Anesthesiology Residents |
| title_sort | power outage a simulation case for anesthesiology residents |
| topic | Simulation Power Outage Anesthesiology Critical Care Medicine |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11523 |
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