关键词: 模拟人, 应急手册, 模拟培训, 过敏反应

Abstract: Objective To compare the learning effects of high-fidelity and low-fidelity simulatorson perioperative anaphylaxis simulation training. Methods Thirty anesthesiology residents who had never experienced the simulation exercise before were divided into two groups： high-fidelity group （Group HN） and low-fidelity group （Group LN） with 15 persons in each group. The participants acted as the chief anesthesiologist and team leader in the case, the rest of the roles were played by the staff.The instructor was the same one. Two weeks before the training, participants need to complete the video theoretical study of “perioperative allergic reaction” and “elements of teamwork” and score 70 points before they can be enrolled in the group. All the training cases were allergic reactions, and the scenario was completely consistent, with a total of 3 drills, and debriefing immediately after the end of each case. The instructor used the allergic reaction case drill score table to score the performance of the third case exercise. Results there was no significant difference in the score of allergic reaction rehearsal scale between Group HN and Group LN （P>0.05）. Conclusion the training of perioperative allergic reaction simulation in high-fidelity simulator and low-fidelity simulator can achieve similar learning effect of diagnosis and treatment measures, and the application of low-fidelity simulator can reduce the cost of simulation training. It is helpful to popularize the situational simulation training of crisis events in operating room.

Key words: simulator, emergency manuals, simulation, anaphylaxis