Application of a Simulator-Based Teaching Method in the Training of the Flexible Bronchoscope-Guided Intubation

Qianbo Chen; Zhenli Hu; Qing Wang; Yuguang Yang; Min Li; Yunye Ning; Qiang Li; Chong Bai; Kosmas Tsakiridis; Paul Zarogoulidis; Konstantinos Sapalidis; Dimitris Matthaios; Christoforos Kosmidis; Lutz Freitag; J Francis Turner; Aris Ioannidis; Haidong Huang

doi:10.12865/CHSJ.47.04.04

Application of a Simulator-Based Teaching Method in the Training of the Flexible Bronchoscope-Guided Intubation

Curr Health Sci J. 2021 Oct-Dec;47(4):501-506. doi: 10.12865/CHSJ.47.04.04. Epub 2021 Dec 31.

Authors

Qianbo Chen¹, Zhenli Hu², Qing Wang², Yuguang Yang³, Min Li⁴, Yunye Ning², Qiang Li⁵, Chong Bai², Kosmas Tsakiridis⁶, Paul Zarogoulidis^{7

8}, Konstantinos Sapalidis⁷, Dimitris Matthaios⁹, Christoforos Kosmidis⁷, Lutz Freitag¹⁰, J Francis Turner¹¹, Aris Ioannidis¹², Haidong Huang²

Affiliations

¹ Department of Anesthesiology, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai, China.
² Department of Respiratory&Critical Care Medicine, Changhai Hospital, the Second Military Medical University, Shanghai, China.
³ Department of Anesthesiology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
⁴ Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Kunming Medical University，Yunnan, China.
⁵ Department of Respiratory and Critical Care Medicine, Oriental Hospital, Tongji University, Shanghai, China.
⁶ Thoracic Surgery Department, "Interbalkan" European Medical Center, Thessaloniki, Greece.
⁷ 3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.
⁸ Oncology Department, General Hospital of Rhodes, Greece.
⁹ Surgery Department, "General Clinic Euromedica" Private Clinic, Thessaloniki, Greece.
¹⁰ Department of Pulmonology, University Hospital Zurich, Switzerland.
¹¹ University of Tennessee Graduate School of Medicine, Department of Medicine, Knoxville, TN, USA.
¹² Surgery Department, "Genesis" Private Clinic, Thessaloniki, Greece.

Abstract

Background: The study aimed to explore the effect of a bronchoscopic simulator-based comprehensive teaching method in the training of flexible bronchoscope-guided intubation for suspected lung cancer patients for doctors without bronchofibroscopic operation background.

Methods: We designed a prospective self-control study involved in 35 trainees from the Navy Military Medical University's affiliated hospital to evaluate flexible bronchoscope-guided intubation's training outcome. Before and after the practice training, we recorded the flexible bronchoscope passing time from nasal to visible glottis and carina, tracheal placement tube, and ventilation.

Results: All 35 trainees could complete flexible bronchoscope-guided intubation independently after training.

Conclusions: The bronchial diagnosis for suspected lung cancer patients and treatment-based model can be widely applied in tracheal intubation training.

Keywords: 19G needle; 22G needle; Bronchoscopy; Intubation; Methodology; Sedation; convex probe EBUS; lung cancer; radial- EBUS; single nodule.