8.3
Preconfigured Pediatric Scenarios
Preconfigured Pediatric Scenarios
Use the following information to help you build your learning sessions using the
Preconfigured Pediatric Scenarios.
Different scenarios can be run using the same patient and a given scenario can be run
on different patients. However, the clinical results may not always be appropriate.
For example, selecting a patient with profound neuromuscular blockade for a scenario
that requires a spontaneously breathing patient will not proceed as anticipated. For this
reason, the Standard Child patient should always be used with each of the scenarios
described in this section.
Induction Routine
Typically, this scenario is used with beginning anesthesia personnel who are practicing
routine intravenous inductions of general endotracheal intubation. In the baseline state,
the patient is awake and the simulator waits for interventions (e.g., pre-oxygenation,
drug injections) from the learner or instructor. Upon administration of thiopental (>3 mg/
kg) or propofol (>1 mg/kg), the scenario transitions to the unconscious state.
The scenario causes the patient to become extremely resistant to developing
myocardial ischemia, regardless of how unfavorable the myocardial oxygen
supply-demand ratio may become. Many instructors find this helpful because
the hemodynamic changes (e.g., tachycardia, hypertension, hypotension) and
oxyhemoglobin desaturations that are often encountered when beginners learn to
induce general endotracheal anesthesia cause myocardial ischemia, which can be
disruptive during a simulation session when treating myocardial ischemia is not the
stated learning objective.
Induction Routine
States, Events and Transitions
State 1
Baseline
Events Ischemic index sensitivity: 0.10
Eyes: Blink control: Both blinking
Transitions IF (thiopental) > (3.00 mg/kg) GOTO (unconscious)
IF (propofol) > (1.00 mg/kg) GOTO (unconscious)
State 2
Unconscious
Events Eyes: Blink control: Both closed
Transitions None
To Next Page
Loading...