The Use of a Simulator for the Teaching of Mechanical Ventilation

Authors

  • Tatiana de Assis Girardi Universidade Federal de Santa Catarina
  • Daniel Girardi Universidade Federal de Santa Catarina
  • Jefferson Luiz Brum Marques Universidade Federal de Santa Catarina

DOI:

https://doi.org/10.5753/rbie.2020.28.0.297

Keywords:

Invasive mechanical ventilation, Simulation, Physiotherapy, Teaching

Abstract

Current mechanical fans are complex systems controlled by microprocessors. This sophistication requires proper handling, knowledge of the indications and parameter settings. However, training future healthcare professionals is a difficult task because it involves human beings, procedures are complex, and the necessary infrastructure is costly. Therefore, in view of the difficulties encountered in teaching and training in invasive mechanical ventilation, this work had as objectives: 1) to develop a software (the Didatic Simulator of Mechanical Ventilation, which is a virtual simulator based on the web to help the learning process in invasive mechanical ventilation 2) to evaluate if the Didatic Simulator of Mechanical Ventilation can assist in the teaching of invasive mechanical ventilation and 3) to evaluate if a cross-platform system is attractive for use in the classroom. In order to develop the simulator, four steps were performed: 1) Literature review; 2) Extraction and analysis of the suggestions of the selected works; 3) Development of the simulator and 4) Pilot study with the Didactic Simulator of Mechanical Ventilation. The pilot study with the simulator was carried out with physiotherapy students and the results obtained with the questionnaire revealed that even though adjustments were required in the layout, navigability and increase of resources, the simulator had a very good acceptance by the academics, who reported that the use of the simulator promoted greater interest and motivation for learning the invasive mechanical ventilation subject. Academics will benefit from yet another free web-based virtual simulator option that is available for free and in its full version. In this way, it will enable academics to be closer to what they will find in their professional practice, through an interactive activity and contextualized with theory, aiding the learning process in invasive mechanical ventilation.

Downloads

Download data is not yet available.

References

Acton, RD. (2015). The envolving role of simulation in teaching surgery undergraduate medical education. Surgical Clinics, 95(4), 739-750. DOI: 10.1016/j.suc.2015.04.001 [GS Search]

Barbas,C. V., Isola, A. M., & Farias, A. M. (2013). Diretrizes brasileiras de ventilação mecânica. 2013. Associação de Medicina Intensiva Brasileira e Sociedade Brasileira de Pneumologia e Tisiologia, 1-140. DOI: https://doi.org/10.5935/0103-507X.20140017

Beal, MD, Kinnear, J, Anderson, CR, Martin, TD, Wamboldt, R & Hooper, L. (2017). The effectiveness of medical simulation in teaching medical students critical care medicine: a systematic review and meta-analysis. Simulation in Healthcare, 12(2), 104-116. DOI: 10.1016/j.suc.2015.04.001 [GS Search]

Biscardi, GT & Rondina, JM. (2017). Patterns of techonologies’ use in the learning at the medicine course. Brazilian Journal of Computers in Education, 25(01), 1. DOI: 10.5753/rbie.2017.25.01.1 [GS Search]

Bloom, BS & Krathwohl, DR. (1956). Taxonomy of educational objectives: The classification of educational goals, by a commitee of college and university examiners. Handbook i: Cognitive domain. New York, Longmans, Green. Borges, VA, Nogueira, BM, Barbosa, EF, et al. (2015). Uma análise exploratória de tópicos de pesquisa emergentes em informática na educação. Revista Brasileira de Informática na Educação. 23(01), 85. [GS Search]

Boyle 3rd, J. (1991). Ventilatory control (Ventrol) simulation for education. Advances in Physiology Education, 261(6), S25. DOI:10.1152/advances.1991.261.6.S25 [GS Search]

Bradley, P. (2006). The history of simulation in medical education and possible future directions. Medical education, 40(3), 254-262. DOI: doi.org/10.1111/j.1365-2929.2006.02394.x [GS Search]

Cajacuri, LAV. (1997). Sistema simulador e de treinamento da ventilação mecânica usando o ventilador pulmonar. 137f. Dissertação (Mestrado em Engenharia Elétrica). Universidade Federal de Santa Catarina., Florianópolis, SC. [GS Search]

Carvalho CRR, Toufen Junior, C & Franca, SA. (2007). Ventilação mecânica: princípios, análise gráfica e modalidades ventilatórias. Jornal Brasileiro de Pneumologia, 33, 54-70. DOI: 10.1590/S1806-37132007000800002 [GS Search]

Ciullo, A, Yee, J, Frey, JA, Gothard, MD, Benner, A, Hammond, J & Ahmed, RA. (2019). Telepresent mechanical ventilation training versus traditional instruction: a simulation-based pilot study. BMJ Simulation and Technology Enhanced Learning, 5(1), 8-14. DOI: 10.1136/bmjstel-2017-000254 [GS Search]

Dal Sasso, GM et al. (2015). Guia metodológico para simulação em enfermagem-cepetec. Universidade Federal de Santa Catarina, Florianópolis. [GS Search]

Dubovi,I, Levy, ST & Dragan, E. (2017). Now i know how! The learning process of medication administration among nursing students with non-immersive desktop virtual reality simulation. Computers & Education. 113, 16-27. DOI:10.1016/j.compedu.2017.05.009 [GS Search]

Ferrer, M & Pelosi, P. (2012). New developments in mechanical ventilation. European Respiratory Society. Extraído de: https://books.ersjournals.com/content/new-developments-in-mechanical-ventilation DOI: 10.1183/1025448x.erm5512

Fialkow L, Farenzena M, Wawrzeniak IC. Brauner, JS, Vieira SRR, Vigo, A & Bozzetti, MC. (2016). Mechanical ventilation in patients in the intensive care unit of a general university hospital in southern Brazil: an epidemiological study. Clinics. 71(3): 145-151. DOI: 10.6061/clinics/2016(03)05 [GS Search]

Filho, ML. (2010). Simulador virtual de assistência ventilatória mecânica. 55f. Monografia (Graduação de Engenharia de Teleinformática). Universidade Federal do Ceará. Fortaleza, CE. [GS Search]

Flores, CD, Bez, MR & Bruno, RM (2014). O uso de simuladores no ensino da medicina. Rev Bras Inform Educ, 22(2), 98-108. [GS Search]

Freitas, MCD & Almeida, MG. (2012). Docentes e discentes na sociedade da informação (A escola no século XXI; v. 2). Rio de Janeiro: Brasport.

Gaba, DM. (2004). The future vision of simulation in health care. Quality & safety in health care. v. 13 (Suppl 1), p. i2-i 10. DOI:10.1136/qshc.2004.009878 [GS Search]

Hasan,A. (2010). Understanding Mechanical Ventilation: A Practical Handbook. 2ºed. Springer Science & Business Media, p. 6.

Hess, DR & Kacmarek RM (2014). Essentials of Mechanical Ventilation. McGraw-Hill Education, p. 2-11.

Holzinger, A, Kickmeier-Rust, MD, Wassertheurer, S & Hessinger, M. (2009). Learning performance with interactive simulations in medical education: Lessons learned from results of learning complex physiological models with the haemodynamics simulator. Computers & Education, 52(2), 292-301. DOI: 10.1016/j.compedu.2008.08.008 [GS Search]

Lane, JL, Slavin, S & Ziv, A. (2001). Simulation in medical education: A review. Simulation & Gaming, 32(3), 203-210. DOI: 10.1177/104687810103200302 [GS Search]

Lino JA, Gomes, GC, Sousa, NDSVC, Carvalho AK, Diniz, MEB, Junior, ABV & Holanda, MA. (2016). A critical review of mechanical ventilation virtual simulators : is it time to use them? JMIR Med Educ. v. 2, n.1, p. 1-11. DOI: 10.2196/mededu.5350 [GS Search]

Madathil, KC, Frady, K, Hartley, R, Bertrand, J, Alfred, M & Gramopadhye, A. (2017). An empirical study investigating the effectiveness of integrating virtual reality-based case studies into an online asynchronous learning environment. The ASEE Computers in Education (CoED) Journal. 8(3). [GS Search]

Moreira, CMM. (1996). SIMVEP-Simulador da Ventilação pulmonar. 90f. Dissertação (Mestrado em Engenharia Elétrica). Universidade Estadual de Campinas. Campinas, SP. [GS Search]

Osaku, EF. (2005). Desenvolvimento de um software didático para o apoio ao aprendizado de ventilação mecânica. 115f. Dissertação (Mestrado em Engenharia Elétrica e Informática Industrial). Centro Federal de Educação Tecnológica do Paraná. Curitiba, PR. [GS Search]

Osaku, EF, Lopes HS & Aquim EE. (2006). Avaliação do ensino-aprendizagem em ventilação mecânica nos cursos de fisioterapia no Paraná. Fisioter. Bras, 7(2), 84-86. DOI:10.33233/fb.v7i2.1868 [GS Search]

Patroniti, N & Iotti, GA. (2015). Mechanical Ventilation-skills and techniques. Patient-centered Acute Care Training (PACT) Module-European Society of Intensive Care Medicine.

Pazin, A & Scarpelini, S. (2007). Simulação: definição. Medicina (Ribeirão Preto. Online), 40(2), 162-166. DOI: 10.11606/issn.2176-7262.v40i2p162-166 [GS Search]

Prensky, M. (2001). Digital natives, digital immigrants part 1. On the horizon, 9(5), 1-6. DOI: 10.1108/10748120110424816 [GS Search]

Ravert, P (2002). An integrative review of computer-based simulation in the education process. CIN: Computer, Informatics, Nursing, 20(5), 203-208. [GS Search]

Rocha, RV, Zem-Lopes, AM, Pedro, LZ, Bittencourt, II & Isotani, S. (2015). Metodologia de Desenvolvimento de Jogos Sérios: especificação de ferramentas de apoio open source. In Brazilian Symposium on Computers in Education (Simpósio Brasileiro de Informática na Educação-SBIE) (Vol. 26, No. 1, p. 489). DOI: 10.5753/cbie.sbie.2015.489 [GS Search]

Satava, RM. (2008). Historical Review of Surgical Simulation – A personal perspective. World J Surg. v. 32, p. 141-148. DOI: 10.1007/s00268-007-9374-y [GS Search]

Scholtz, F & Hughes, S. (2019). A systematic review of educator interventions in facilitating simulation based learning. Journal of Applied Research in Higher Education. DOI: 10.1108/JARHE-02-2018-0019 [GS Search]

Schroedl CJ, Corbridge TC, Cohen ER, Fakhran SS, Schimmel, D, McGaghie, WC & Wayne, DB. (2012). Use of simulation-based education to improve resident learning and patient care in the medical intensive care unit: a randomized trial. Journal of Critical Care. v. 27, p.219e7-219e13. DOI: 10.1016/j.jcrc.2011.08.006 [GS Search]

Singh, H, Kalani, M, Acosta-Torres, S, El Ahmadieh, TY, Loya, J & Ganju, A. (2013). History of simulation in medicine: from ressuci annie to the ann myers medical center. Neurosurgery. 73 (suppl_1), S9-S14. DOI: 10.1093/neurosurgery/73.suppl_1.S9 [GS Search]

Takeuchi, A., Abe, T., Hirose, M., Kamioka, K., Hamada, A., & Ikeda, N. (2004). Interactive simulation system for artificial ventilation on the internet: virtual ventilator. Journal of clinical monitoring and computing, 18(5-6), 353-363. DOI: 10.1007/s10877-005-6268-0 [GS Search]

Talo FS, Abib SCV, Negri AJA , Cesar Filho, P, Lopes, RD & Lopes, AC. (2017). Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians. Clinics. v. 72, n2, p. 65-70. DOI: 10.6061/clinics/2017(02)01 [GS Search]

Tori, R, Amaral Tori, A, Ziyu Wang, G, Collaço de Oliveira, E, Henna Sallaberry, L & Machado, MA. (2018). Vida odonto: Ambiente de realidade virtual para treinamento odontológico. Revista Brasileira de Informática na Educação. 26(2). [GS Search]

Wax, R. S., Kenny, L., & Burns, P. (2006). Educating providers of mechanical ventilation: an update. Current opinion in critical care,12(1), 61-66. [GS Search]

West, AJ & Parchoma, G. (2017). The practice of simulation-based assessment in respirathory trerapy education. Canadian Journal ofRespiratory Therapy. 53(1). [GS Search]

Yee, J, Fuenning, C, George, R, Hejal, R, Haines, N, Dunn, D & Ahmed, RA. (2016). Mechanical ventilation boot camp: a simulation-based pilot study. Critical care research and practice, 2016. DOI: 10.1155/2016/4670672 [GS Search]

Published

2020-05-31

How to Cite

GIRARDI, T. de A.; GIRARDI, D.; MARQUES, J. L. B. The Use of a Simulator for the Teaching of Mechanical Ventilation. Brazilian Journal of Computers in Education, [S. l.], v. 28, p. 297–318, 2020. DOI: 10.5753/rbie.2020.28.0.297. Disponível em: https://journals-sol.sbc.org.br/index.php/rbie/article/view/3684. Acesso em: 7 jul. 2024.

Issue

Section

Articles