Pediatric Sedation Outside of the Operating Room;A Virtual Reality Experience (1090-004023)
CE Hours: 0.25 Session Type: SimVentors
Pediatric procedural sedation outside of the operating room is a complex, yet fundamental skill necessary for medical professionals. Managing a pediatric patient, recognizing complications, and understanding the indications, contraindications, and methods for safe procedural sedation are challenging to learn with limited exposure to dedicated sedation programs during residency training. We aimed to build a virtual reality (VR) pediatric sedation curriculum for students, residents, fellows, and attending physicians working in the emergency department and inpatient settings. We utilized a virtual reality education software (Enduvo, Inc., Peoria IL), to build a curriculum consisting of six competency-based training modules with educational objectives focusing on the core topics of procedural sedation and high-risk complications and interventions allowing practitioners to practice infrequent but high-stakes skill. The objectives were as follows: 1. Pre-sedation care 2. Monitoring during and after sedation and 3. Role of Nitrous Oxide in sedation The recognition and management of life-threatening complications such as 4. Laryngospasm 5. Chest wall rigidity with Fentanyl use, and 6. Apnea Content experts in pediatric sedation developed the outline with learning objectives, assessment tasks, and debriefing for each module with the VR technology using imported 3D footages and images creating an immersive educational experience for the learners. Each of the six modules consisted of two to four submodules that lasted no more than 5 minutes with an estimated completion time of 3 hours for the course. The curriculum is completed by a competency assessment with a series of interactive cases where the learner can go through and practice these skills in multiple VR patient-based scenarios. Pediatric sedation is experience-based learning where deliberate practice is required to achieve mastery and the focus of this curriculum was to ensure the content was engaging for a wide variety of learners ranging from beginners to advanced levels rendering it a more fulfilling experience. With this intent in mind, the curriculum was purposefully developed to target advanced learners as well and investigate its effectiveness for physicians and nurses credentialing at an institution. This course is designed to meet the needs of the sedation learners providers seeking both cognitive and psychomotor based education and training. Our future direction is to pilot this project with two cohorts of learners that will be divided into VR and non-VR groups. The VR group will be provided the sedation content in the VR setting while the second group will receive similar informative material in a classroom setting as a recorded session. Assessments will be conducted post completion of the sessions along with survey forms. This pilot will assist with the validation of the content and incorporation of our formal sedation course as well as dissemination to other institutions.