Simulation as a training and assessment tool in the management of failed intubation in obstetrics.

Failed intubation has been a serious problem in obstetric anaesthesia in the UK. The current study was designed to assess the use of the 'ACCESS' simulator (Anaesthetic Computer-Controlled Emergency Situation Simulator) to evaluate our trainees' performance in an obstetric failed intubation setting. Using a scoring system based on our department's failed intubation drill in obstetrics, 13 junior anaesthetists were recruited for the study and all took part in the simulation exercise. Six weeks later they were all tutored as a group or individually on the important points raised from their first simulations. Two weeks after that, 12 of the candidates were re-tested, and 11 scored better than their first time. The results were confidential and the authors ensured all feedback was of a positive nature. The study shows that a simulator may be a useful tool for assessment of performance in a simulated emergency situation when combined with practice and formal teaching.