Research Article

Simulation-Based Neonatal Resuscitation Education for Undergraduate Anesthesia Students: A Pre- and Post-Evaluation of Knowledge and Clinical Skills

Table 3

Content/curriculum of simulation-based neonatal resuscitation training for undergraduate final-year anesthesia students at a comprehensive specialized teaching referral hospital in Ethiopia.

DateTimeTitleContent

Day 19:00–10:00 amHighlighting the principles of newborn resuscitation in the class roomIntroducing the 2005 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) of Pediatric and Neonatal Patients: Pediatric Basic Life Support by senior anesthetist (for all 51 students)
10:00–11:00 amIndications of neonatal resuscitation in theory class roomDelivering the theoretical aspects about the indications of neonatal resuscitation such as asphyxia, meconium stained, and APGAR score with power point by one of the trainers (for all 51 students)
11:00–12:00 amEvaluation of newborns for resuscitation in the class roomPower point presentation about the necessary systems and its signs for evaluation of a newborn for resuscitation for all 51 students
2:00–5:00 pmNecessary equipment and medications for neonatal resuscitations (theory class room)Necessary equipment like Ambu-bag, facemask, laryngeal mask airway, tracheal tubes, etc., and medications like adrenaline, hydrocortisone, bicarbonate, etc., were presented by the trainer for all 51 students

Day 29:00–10:00 amInitial steps of neonatal resuscitation (class room)The correct order of resuscitation like providing warmth, giving the right position, clearing the airway, drying the baby, and stimulating breathing was described
10:00–11:00 amPrinciples of chest compression to ventilation in theory class roomA brief description of indications of compression, procedures, necessary devices, contraindications and indications of ventilation (mechanical or assisted), and compression/ventilation ratio
11:00–12:00 amTechniques of stimulation and handling of newborns (theory class room)Holding aloft and buttock stimulation are not recommended during resuscitation (brief description of principles of stimulation by trainers for all 51 participants)
2:00–5:00 pmEndotracheal intubation and Ambu-bag usageThe indications, devices, procedures, and contradictions of intubation and principles of Ambu-bagging are well presented by the trainers for all 51 students/participants

Day 39:00–10:00 amNeonatal resuscitation evaluation (hands-on simulation) at skill laboratoryAll 51 students were participated in evaluation of neonatal resuscitation (rapid evaluation) in 2 stations
10:00–11:00 amNeonatal resuscitation (hands-on simulation) at skill laboratoryDivided into 2 groups for 1 and 2 in 2 stations, each group had 1 trainer and 5–6 students, giving the scenario training followed by initial step to intubation
11:00–12:00 amUse of resuscitation devices (hands-on simulation) at skill laboratoryThe indication for starting mechanical ventilation, initial breaths, assisted ventilation, and end-expiratory pressure
2:00–5:00 pmTechniques of Ambu-baggingAll students divided into 2 like A and B and did Ambu-bagging following the trainer in each station (station 1 and 2)

Day 49:00–10:00 amChest compression (hands-on simulation)The indications, devices, procedures, and contradictions of chest compression and the trainer showed to the students the technique
10:00 am–5:00 pmAmbu-bagging technique and effectiveness (hands-on simulation) at skill laboratoryThe trainers in each station showed the technique to the students

Day 5–17From 9:00 am–5:00 pmHands-on simulation with manikins in skill laboratory by themselvesStudents divided into 2 two groups; 5 or 6 each with one senior anesthetist (trainer) and assigned into 2 stations and practice each step necessary for neonatal resuscitation under supervision

Nota bene: the maximum time allowed for each group was 12 minutes considering 1:5 ratio for 51 students in two stations in 1-hour period.