High Fidelity Simulation Lab

Western Carolina University is proud to utilize a new high-fidelity anesthesia simulation center at its Biltmore Park campus. At a cost of $236,000 it permits faculty and anesthesia students to work with a HPS system in an operating room in which the "patient" has 1) pupils react to opiods, light, brain injury, 2) the ulnar nerve respond to a peripheral nerve stimulator (tetanus, train-of-four), 3) automatic recognition and response to administered drugs and drug dosages, 4) variable lung compliance and airways resistance, 5) automatic response to needle decompression of a tension pneumothorax, chest tube drainage and pericardiocentesis, 6) central and peripheral pulses that abate in response to hemodynamic changes, 7) the ability to respond to cardioversion, defibrillation, and external pacing as needed.

Dr. Kossick and Student in Lab

Graduate student Ricardo Isaacs preparing to intubate a pediatric patient with Dr. Mark A. Kossick evaluating his induction technique.

Other ancillary hardware in the operating room includes: operating room light, a $20,500 MP70 IntelliVue Anesthesia Monitor that can display end-tidal gas values, invasive and noninvasive blood pressures, ECG, pulse oximetry, pulmonary artery and central venous pressures, thermal dilution cardiac output waveforms, derived 12 leads, and a Zoll defibrillator. The adjacent control room permits faculty to deliver the simulation curriculum via MUSE CAE software and record simulated activity via Learning Space ($34,000) audiovisual recording system (to be installed Fall 2012); which will also allow debriefing experiences for students.

Professor Hewer with Student

Assistant Professor Ian Hewer teaching graduate student Michelle Maramag the sequence of events for performing an anesthesia machine check.

The anesthesia clinical skills lab includes learning experiences with a GE ultrasound machine with color flow Doppler imaging capabilities ($24,250), advanced airway deivices (e.g., GlideScope [$11,200], fiber-optic bronchoscope, jet ventilation device), Life/form spinal injection simulator, Life/form central venous cannulation simulator, various adult (Airsim Bronchi [$2,350], AMBU Airway Management Trainer [$1,480]) and neonatal airway models, as well as an OR stretcher for preoperative anesthesia assessments.

Professor Mason McDowell and Dr. Mark Kossick evaluating a SRNA's performance in the          control room via pan-tilt-zoom camera.

TDr. Shawn Collins instructing Paula Grey, SRNA, on the use of ultrasound imaging for identifying potential vascular structures for cannulation. 

The WCU Nurse Anesthesia Program's High Fidelity Simulation Lab will provide graduate anesthesia students with state of the art experiences in advanced airway management techniques, regional anesthesia ultrasound imaging devices, and HPS simulation experiences for many years to come.

Operation Room Simulation Lab

Operating room #1 simulation lab with the adult CAE Human Patient Simulation (HPS). Used to deliver adult high fidelity simulation scenarios.

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