caa a22 4500 475756207 CHVBK 20180406123538.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s002470050744 doi (NATIONALLICENCE)springer-10.1007/s002470050744 Computers in radiology [Elektronische Daten] The sedation, analgesia, and contrast media computerized simulator: a new approach to train and evaluate radiologists' responses to critical incidents [L. S. Medina, John M. Racadio, Howard A. Schwid] Background. Awareness and preparedness to handle sedation, analgesia, and contrast-media complications are key in the daily radiology practice. Objective. The purpose is to create a computerized simulator (PC-Windows-based) that uses a graphical interface to reproduce critical incidents in pediatric and adult patients undergoing a wide spectrum of radiologic sedation, analgesia and contrast media complications. Materials and methods. The computerized simulator has a comprehensive set of physiologic and pharmacologic models that predict patient response to management of sedation, analgesia, and contrast-media complications. Photorealistic images, real-time monitors, and mouse-driven information demonstrate in a virtual-reality fashion the behavior of the patient in crisis. Results. Thirteen pediatric and adult radiology scenarios are illustrated encompassing areas such as pediatric radiology, neuroradiology, interventional radiology, and body imaging. The multiple case scenarios evaluate randomly the diagnostic and management performance of the radiologist in critical incidents such as oversedation, anaphylaxis, aspiration, airway obstruction, apnea, agitation, bronchospasm, hypotension, hypertension, cardiac arrest, bradycardia, tachycardia, and myocardial ischemia. The user must control the airway, breathing and circulation, and administer medications in a timely manner to save the simulated patient. On-line help is available in the program to suggest diagnostic and treatment steps to save the patient, and provide information about the medications. A printout of the case management can be obtained for evaluation or educational purposes. Conclusion. The interactive computerized simulator is a new approach to train and evaluate radiologists' responses to critical incidents encountered during radiologic sedation, analgesia, and contrast-media administration. Springer-Verlag Berlin Heidelberg, 2000 Medina L. S. Department of Radiology, Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA, US aut Racadio John M. Department of Radiology, Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA, US aut Schwid Howard A. Department of Anesthesia, Veterans Administration Medical Center, University of Washington, 1660 South Columbian Way, Seattle, WA 98108, USA, US aut https://doi.org/10.1007/s002470050744 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470050744 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Medina L. S. Department of Radiology, Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA, US aut NATIONALLICENCE 700 1- Racadio John M. Department of Radiology, Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA, US aut NATIONALLICENCE 700 1- Schwid Howard A. Department of Anesthesia, Veterans Administration Medical Center, University of Washington, 1660 South Columbian Way, Seattle, WA 98108, USA, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer