Application and progress of scenario simulation exercise in the training of malignant hyperthermia management
10.3969/j.issn.1008-9691.2025.03.025
- VernacularTitle:情境模拟演练在恶性高热急救教学培训中的应用进展
- Author:
Xiaona LIN
1
;
Xueyao YU
1
;
Jing ZHANG
1
;
Hongcai ZHENG
1
;
Haiming DU
1
;
Yang ZHOU
1
;
Xiangyang GUO
1
;
Zhengqian LI
1
Author Information
1. 北京大学第三医院麻醉科,北京市临床麻醉质量控制和改进中心,北京 100191
- Publication Type:Journal Article
- Keywords:
Scenario simulation exercise;
Malignant hyperthermia;
Crisis event
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2025;32(3):381-384
- CountryChina
- Language:Chinese
-
Abstract:
Malignant hyperthermia(MH)is a rare perioperative disease with autosomal dominant inheritance,and its pathogenesis involves specific gene mutations.Its clinical feature is that conventional anesthetics can trigger abnormally high metabolic reactions in skeletal muscles.Although the incidence of this disease is low,the condition is dangerous,progresses rapidly,and has a high mortality rate;Its treatment relies on early diagnosis,timely application of the specific drug Dantrolene Sodium,and rapid and orderly comprehensive symptomatic supportive treatment.MH is a critical perioperative emergency that can occur during surgery.It presents with symptoms such as hyperpyrexia,metabolic acidosis,rhabdomyolysis,and dysfunction of multiple organ systems.If not treated promptly,it can quickly lead to life-threatening arrhythmias and cardiac arrest.This condition serves as an essential teaching example in anesthesia crisis resource management.As an effective teaching method,scenario simulation exercises can comprehensively enhance medical staff's personal technical,non-technical,and teamwork abilities through simulating emergency scenarios,teaching assessments,and retrospective discussions,especially suitable for comprehensive management training of fatal diseases.Many countries internationally have incorporated simulation exercises for MH into their routine teaching and training systems.The effectiveness of teaching and training for anesthesiologists in MH and their ability to handle anesthesia crisis events have been continuously improved through a periodic training model.This article systematically reviews the research progress and practical experience of scenario simulation exercises in emergency training for MH,with a focus on exploring how to establish a scenario simulation exercise plan for emergency application and comprehensive symptomatic support treatment of Dantrolene Sodium based on the actual situation in China,providing reference for improving the teaching and training quality of MH and other clinical crisis events.
