ICU-focused bronchoscopy training: advancing skills through simulation

Abstract

Bronchoscopy is essential in managing conditions in the ICU, such as acute respiratory failure. Traditionally performed by pulmonologists, there is a growing need to train intensivists in bronchoscopy due to the increasing complexity of ICU patients. While existing simulationbased programs focus on complex procedures, there is a gap in training intensivists for basic bronchoscopic tasks crucial in critical care. This study details the implementation of a focused bronchoscopy training course for intensivists. The course, conducted over two days, combined theoretical instruction and hands-on practice using simulators and realistic ICU scenarios. Trainees received comprehensive guidance on bronchoscope handling, airway anatomy, and basic maneuvers. The course utilized single-use bronchoscopes, 3D-printed bronchial tree simulators, and other ICU-specific equipment to enhance realism and interactivity. The training was held in multiple LATAM locations, with approximately 30 intensivists per session, showing significant improvements in theoretical knowledge and practical skills. Participants exhibited high proficiency in basic bronchoscopy maneuvers and airway anatomy identification. The program’s success underscores the importance of specialized bronchoscopy training for intensivists, addressing a critical need in ICU settings. The course’s structure, combining brief theoretical presentations with extensive practical sessions, facilitated effective learning and confidence building. The use of realistic simulators was pivotal in enhancing the learning experience. Future research should focus on long-term assessments of skill retention and clinical impact. Additionally, exploring diverse evaluation methods may provide a more comprehensive measure of bronchoscopy proficiency. This training model offers a valuable addition to ICU education, ultimately aiming to improve patient outcomes in critical care.