Human vs. Mannequins: ethical boundaries of airway simulation in patients.
DOI:
https://doi.org/10.30445/rear.v11i10.738Keywords:
Ethics, airway, research, simulationAbstract
Research in anaesthesia is dominated without any doubt, by studies based on mannequins, despite the existing doubts about the validity of extrapolate its revelations to real patients.
Mannequins are not able to fully reproduce the airway patient´s anatomy, lacking the ability of replicate specially human tissues´ structure and sensation, cervical spine mobility, anatomic proportions variability and pathological changes, which results in a critical allegiance failure.
References
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- Schebesta K, H€upfl M, R€ossler B, Ringl H, M€uller MP, Kimberger O. Degrees of reality: airway anatomy of high-fidelity human patient simulators and airway trainers. Anesthesiol-ogy 2012; 116: 1204–9.
- Hesselfeldt R, Kristensen MS, Rasmussen LS. Evaluation of the airway of the SimMan full-scale patient simulator. Acta Anaesthesiologica Scandinavica 2005; 49: 1339–45.
- Jordan GM, Silsby J, Bayley G, Cook TM. Evaluation of four manikins as simulators for teaching airway management procedures specified in the Difficult Airway Society guide-lines, and other advanced airway skills. Anaesthesia 2007; 62: 708–12.
- Cook TM. Novel airway devices: spoilt for choice? Anaesthesia 2003; 58: 107–10.
General Medical Council (UK). Standards and ethics guidance for doctors. http://www/gmc-uk.org/guidance/good_medical_practice.asp (accessed 10/04/2016).
- World Medical Association. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects, 2013. http://www.wma.net/en/30publications/10policies/b3/ (accessed 10/04/2016).
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Published
2020-08-13
How to Cite
Sánchez Merchante, M., Martínez Hurtado, E., & Mariscal Flores, M. (2020). Human vs. Mannequins: ethical boundaries of airway simulation in patients. Revista Electrónica AnestesiaR, 11(10), 3. https://doi.org/10.30445/rear.v11i10.738
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Critical reviews of articles
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