Physiological and self-assessed psychological stress induced by a high fidelity simulation course among third year anesthesia and critical care residents: An observational study.
Identifieur interne : 000B50 ( Main/Exploration ); précédent : 000B49; suivant : 000B51Physiological and self-assessed psychological stress induced by a high fidelity simulation course among third year anesthesia and critical care residents: An observational study.
Auteurs : Thomas Geeraerts [France] ; Philippe Roulleau [France] ; Gaëlle Cheisson [France] ; Fouad Marhar [France] ; Karl Aidan [France] ; Karim Lallali [France] ; Morgan Leguen [France] ; David Schnell [France] ; Fabien Trabold [France] ; Philippe Fauquet-Alekhine [France] ; Jacques Duranteau [France] ; Dan Benhamou [France]Source :
- Anaesthesia, critical care & pain medicine [ 2352-5568 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Amylases (analyse), Amylases (métabolisme), Anesthésiologie (enseignement et éducation), Auto-évaluation (psychologie) (MeSH), Compétence clinique (MeSH), Femelle (MeSH), Formation par simulation haute fidélité (méthodes), Humains (MeSH), Internat et résidence (statistiques et données numériques), Mâle (MeSH), Salive (enzymologie), Soins de réanimation (MeSH), Stress physiologique (MeSH), Stress psychologique (psychologie), Stress psychologique (étiologie).
- MESH :
- analyse : Amylases.
- enseignement et éducation : Anesthésiologie.
- enzymologie : Salive.
- métabolisme : Amylases.
- méthodes : Formation par simulation haute fidélité.
- psychologie : Stress psychologique.
- statistiques et données numériques : Internat et résidence.
- étiologie : Stress psychologique.
- Adulte, Auto-évaluation (psychologie), Compétence clinique, Femelle, Humains, Mâle, Soins de réanimation, Stress physiologique.
English descriptors
- KwdEn :
- Adult (MeSH), Amylases (analysis), Amylases (metabolism), Anesthesiology (education), Clinical Competence (MeSH), Critical Care (MeSH), Female (MeSH), High Fidelity Simulation Training (methods), Humans (MeSH), Internship and Residency (statistics & numerical data), Male (MeSH), Saliva (enzymology), Self-Assessment (MeSH), Stress, Physiological (MeSH), Stress, Psychological (etiology), Stress, Psychological (psychology).
- MESH :
- chemical , analysis : Amylases.
- chemical , metabolism : Amylases.
- education : Anesthesiology.
- enzymology : Saliva.
- etiology : Stress, Psychological.
- methods : High Fidelity Simulation Training.
- psychology : Stress, Psychological.
- statistics & numerical data : Internship and Residency.
- Adult, Clinical Competence, Critical Care, Female, Humans, Male, Self-Assessment, Stress, Physiological.
Abstract
INTRODUCTION
The use of high fidelity simulators in Medicine can improve knowledge, behaviour and practice but may be associated with significant stress. Our objective was to measure physiological and psychological self-assessed intensity of stress before and after a planned simulation training session among third year anaesthesia and critical care residents.
METHODS
A convenience sample of 27 residents participating in a simulation training course was studied. Stress was evaluated by self-assessment using a numerical scale and by salivary amylase concentration before and after the session. Technical and non-technical (using the Aberdeen Anaesthetists' Non Technical Skills scale) performances were assessed through videotapes analysis.
RESULTS
The median stress score was 5 (2-8) before and 7 (2-10) after the simulation session (P<0.001). For 48% of residents studied, the stress score after the session was superior or equal to 8/10. Salivary amylase concentration increased significantly after the session compared to before the session, respectively (1,250,440±1,216,667 vs. 727,260±603,787IU/L, P=0.008). There was no significant correlation between stress parameters and non-technical performance.
DISCUSSION
Simulation-induced stress, as measured by self-assessment and biological parameter, is high before the session and increases significantly during the course. While this stress did not seem to impact performance negatively, it should be taken into account.
DOI: 10.1016/j.accpm.2017.06.002
PubMed: 28648752
Affiliations:
- France
- Midi-Pyrénées, Nouvelle-Aquitaine, Occitanie (région administrative), Poitou-Charentes, Île-de-France
- Le Kremlin-Bicêtre, Montagret, Suresnes, Toulouse
- Université Paris-Sud, Université Toulouse III - Paul Sabatier
Links toward previous steps (curation, corpus...)
Le document en format XML
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type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000B20</idno><idno type="wicri:Area/Main/Exploration">000B20</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Physiological and self-assessed psychological stress induced by a high fidelity simulation course among third year anesthesia and critical care residents: An observational study.</title><author><name sortKey="Geeraerts, Thomas" sort="Geeraerts, Thomas" uniqKey="Geeraerts T" first="Thomas" last="Geeraerts">Thomas Geeraerts</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, Institut Toulousain de Simulation en Santé (ItSims), CHU de Toulouse, Université Paul-Sabatier, 31059 Toulouse, France. Electronic address: geeraerts.t@chu-toulouse.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, Institut Toulousain de Simulation en Santé (ItSims), CHU de Toulouse, Université Paul-Sabatier, 31059 Toulouse</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName><orgName type="university">Université Toulouse III - Paul Sabatier</orgName></affiliation></author><author><name sortKey="Roulleau, Philippe" sort="Roulleau, Philippe" uniqKey="Roulleau P" first="Philippe" last="Roulleau">Philippe Roulleau</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Cheisson, Gaelle" sort="Cheisson, Gaelle" uniqKey="Cheisson G" first="Gaëlle" last="Cheisson">Gaëlle Cheisson</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Marhar, Fouad" sort="Marhar, Fouad" uniqKey="Marhar F" first="Fouad" last="Marhar">Fouad Marhar</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, Institut Toulousain de Simulation en Santé (ItSims), CHU de Toulouse, Université Paul-Sabatier, 31059 Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, Institut Toulousain de Simulation en Santé (ItSims), CHU de Toulouse, Université Paul-Sabatier, 31059 Toulouse</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName><orgName type="university">Université Toulouse III - Paul Sabatier</orgName></affiliation></author><author><name sortKey="Aidan, Karl" sort="Aidan, Karl" uniqKey="Aidan K" first="Karl" last="Aidan">Karl Aidan</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Lallali, Karim" sort="Lallali, Karim" uniqKey="Lallali K" first="Karim" last="Lallali">Karim Lallali</name><affiliation wicri:level="4"><nlm:affiliation>Service de biochimie, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de biochimie, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Leguen, Morgan" sort="Leguen, Morgan" uniqKey="Leguen M" first="Morgan" last="Leguen">Morgan Leguen</name><affiliation wicri:level="3"><nlm:affiliation>Département d'anesthésie-réanimation, hôpital Foch, université Paris Île-de-France Ouest, 92150 Suresnes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, hôpital Foch, université Paris Île-de-France Ouest, 92150 Suresnes</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Suresnes</settlement></placeName></affiliation></author><author><name sortKey="Schnell, David" sort="Schnell, David" uniqKey="Schnell D" first="David" last="Schnell">David Schnell</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Trabold, Fabien" sort="Trabold, Fabien" uniqKey="Trabold F" first="Fabien" last="Trabold">Fabien Trabold</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Fauquet Alekhine, Philippe" sort="Fauquet Alekhine, Philippe" uniqKey="Fauquet Alekhine P" first="Philippe" last="Fauquet-Alekhine">Philippe Fauquet-Alekhine</name><affiliation wicri:level="3"><nlm:affiliation>Laboratoire de Recherche pour les Sciences de l'Énergie, 86200 Montagret, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Laboratoire de Recherche pour les Sciences de l'Énergie, 86200 Montagret</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Poitou-Charentes</region><settlement type="city">Montagret</settlement></placeName></affiliation></author><author><name sortKey="Duranteau, Jacques" sort="Duranteau, Jacques" uniqKey="Duranteau J" first="Jacques" last="Duranteau">Jacques Duranteau</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Benhamou, Dan" sort="Benhamou, Dan" uniqKey="Benhamou D" first="Dan" last="Benhamou">Dan Benhamou</name><affiliation wicri:level="4"><nlm:affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author></analytic><series><title level="j">Anaesthesia, critical care & pain medicine</title><idno type="eISSN">2352-5568</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Amylases (analysis)</term><term>Amylases (metabolism)</term><term>Anesthesiology (education)</term><term>Clinical Competence (MeSH)</term><term>Critical Care (MeSH)</term><term>Female (MeSH)</term><term>High Fidelity Simulation Training (methods)</term><term>Humans (MeSH)</term><term>Internship and Residency (statistics & numerical data)</term><term>Male (MeSH)</term><term>Saliva (enzymology)</term><term>Self-Assessment (MeSH)</term><term>Stress, Physiological (MeSH)</term><term>Stress, Psychological (etiology)</term><term>Stress, Psychological (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Amylases (analyse)</term><term>Amylases (métabolisme)</term><term>Anesthésiologie (enseignement et éducation)</term><term>Auto-évaluation (psychologie) (MeSH)</term><term>Compétence clinique (MeSH)</term><term>Femelle (MeSH)</term><term>Formation par simulation haute fidélité (méthodes)</term><term>Humains (MeSH)</term><term>Internat et résidence (statistiques et données numériques)</term><term>Mâle (MeSH)</term><term>Salive (enzymologie)</term><term>Soins de réanimation (MeSH)</term><term>Stress physiologique (MeSH)</term><term>Stress psychologique (psychologie)</term><term>Stress psychologique (étiologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Amylases</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Amylases</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Amylases</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Anesthesiology</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Anesthésiologie</term></keywords><keywords scheme="MESH" qualifier="enzymologie" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" qualifier="enzymology" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>High Fidelity Simulation Training</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Amylases</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Formation par simulation haute fidélité</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Internship and Residency</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Internat et résidence</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Stress psychologique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Clinical Competence</term><term>Critical Care</term><term>Female</term><term>Humans</term><term>Male</term><term>Self-Assessment</term><term>Stress, Physiological</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Auto-évaluation (psychologie)</term><term>Compétence clinique</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Soins de réanimation</term><term>Stress physiologique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>The use of high fidelity simulators in Medicine can improve knowledge, behaviour and practice but may be associated with significant stress. Our objective was to measure physiological and psychological self-assessed intensity of stress before and after a planned simulation training session among third year anaesthesia and critical care residents.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A convenience sample of 27 residents participating in a simulation training course was studied. Stress was evaluated by self-assessment using a numerical scale and by salivary amylase concentration before and after the session. Technical and non-technical (using the Aberdeen Anaesthetists' Non Technical Skills scale) performances were assessed through videotapes analysis.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The median stress score was 5 (2-8) before and 7 (2-10) after the simulation session (P<0.001). For 48% of residents studied, the stress score after the session was superior or equal to 8/10. Salivary amylase concentration increased significantly after the session compared to before the session, respectively (1,250,440±1,216,667 vs. 727,260±603,787IU/L, P=0.008). There was no significant correlation between stress parameters and non-technical performance.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Simulation-induced stress, as measured by self-assessment and biological parameter, is high before the session and increases significantly during the course. While this stress did not seem to impact performance negatively, it should be taken into account.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28648752</PMID><DateCompleted><Year>2018</Year><Month>07</Month><Day>27</Day></DateCompleted><DateRevised><Year>2018</Year><Month>07</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2352-5568</ISSN><JournalIssue CitedMedium="Internet"><Volume>36</Volume><Issue>6</Issue><PubDate><Year>2017</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Anaesthesia, critical care & pain medicine</Title><ISOAbbreviation>Anaesth Crit Care Pain Med</ISOAbbreviation></Journal><ArticleTitle>Physiological and self-assessed psychological stress induced by a high fidelity simulation course among third year anesthesia and critical care residents: An observational study.</ArticleTitle><Pagination><MedlinePgn>403-406</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S2352-5568(16)30112-6</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.accpm.2017.06.002</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The use of high fidelity simulators in Medicine can improve knowledge, behaviour and practice but may be associated with significant stress. Our objective was to measure physiological and psychological self-assessed intensity of stress before and after a planned simulation training session among third year anaesthesia and critical care residents.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A convenience sample of 27 residents participating in a simulation training course was studied. Stress was evaluated by self-assessment using a numerical scale and by salivary amylase concentration before and after the session. Technical and non-technical (using the Aberdeen Anaesthetists' Non Technical Skills scale) performances were assessed through videotapes analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The median stress score was 5 (2-8) before and 7 (2-10) after the simulation session (P<0.001). For 48% of residents studied, the stress score after the session was superior or equal to 8/10. Salivary amylase concentration increased significantly after the session compared to before the session, respectively (1,250,440±1,216,667 vs. 727,260±603,787IU/L, P=0.008). There was no significant correlation between stress parameters and non-technical performance.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Simulation-induced stress, as measured by self-assessment and biological parameter, is high before the session and increases significantly during the course. While this stress did not seem to impact performance negatively, it should be taken into account.</AbstractText><CopyrightInformation>Published by Elsevier Masson SAS.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Geeraerts</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, Institut Toulousain de Simulation en Santé (ItSims), CHU de Toulouse, Université Paul-Sabatier, 31059 Toulouse, France. Electronic address: geeraerts.t@chu-toulouse.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roulleau</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cheisson</LastName><ForeName>Gaëlle</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marhar</LastName><ForeName>Fouad</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, Institut Toulousain de Simulation en Santé (ItSims), CHU de Toulouse, Université Paul-Sabatier, 31059 Toulouse, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aidan</LastName><ForeName>Karl</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lallali</LastName><ForeName>Karim</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Service de biochimie, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leguen</LastName><ForeName>Morgan</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, hôpital Foch, université Paris Île-de-France Ouest, 92150 Suresnes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schnell</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Trabold</LastName><ForeName>Fabien</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fauquet-Alekhine</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Laboratoire de Recherche pour les Sciences de l'Énergie, 86200 Montagret, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duranteau</LastName><ForeName>Jacques</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Benhamou</LastName><ForeName>Dan</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Département d'anesthésie-réanimation, hôpital Bicêtre, université Paris-Sud, AP-HP, 94275 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>06</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Anaesth Crit Care Pain Med</MedlineTA><NlmUniqueID>101652401</NlmUniqueID><ISSNLinking>2352-5568</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>EC 3.2.1.-</RegistryNumber><NameOfSubstance UI="D000681">Amylases</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000681" MajorTopicYN="N">Amylases</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000776" MajorTopicYN="N">Anesthesiology</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003422" MajorTopicYN="Y">Critical Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000070856" MajorTopicYN="N">High Fidelity Simulation Training</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007396" MajorTopicYN="N">Internship and Residency</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012463" MajorTopicYN="N">Saliva</DescriptorName><QualifierName UI="Q000201" MajorTopicYN="N">enzymology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012647" MajorTopicYN="Y">Self-Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013312" MajorTopicYN="Y">Stress, Physiological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anaesthesia</Keyword><Keyword MajorTopicYN="N">Crisis management</Keyword><Keyword MajorTopicYN="N">Performance</Keyword><Keyword MajorTopicYN="N">Simulation</Keyword><Keyword MajorTopicYN="N">Stress</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>08</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>06</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>7</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28648752</ArticleId><ArticleId IdType="pii">S2352-5568(16)30112-6</ArticleId><ArticleId IdType="doi">10.1016/j.accpm.2017.06.002</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Midi-Pyrénées</li><li>Nouvelle-Aquitaine</li><li>Occitanie (région administrative)</li><li>Poitou-Charentes</li><li>Île-de-France</li></region><settlement><li>Le Kremlin-Bicêtre</li><li>Montagret</li><li>Suresnes</li><li>Toulouse</li></settlement><orgName><li>Université Paris-Sud</li><li>Université Toulouse III - Paul Sabatier</li></orgName></list><tree><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Geeraerts, Thomas" sort="Geeraerts, Thomas" uniqKey="Geeraerts T" first="Thomas" last="Geeraerts">Thomas Geeraerts</name></region><name sortKey="Aidan, Karl" sort="Aidan, Karl" uniqKey="Aidan K" first="Karl" last="Aidan">Karl Aidan</name><name sortKey="Benhamou, Dan" sort="Benhamou, Dan" uniqKey="Benhamou D" first="Dan" last="Benhamou">Dan Benhamou</name><name sortKey="Cheisson, Gaelle" sort="Cheisson, Gaelle" uniqKey="Cheisson G" first="Gaëlle" last="Cheisson">Gaëlle Cheisson</name><name sortKey="Duranteau, Jacques" sort="Duranteau, Jacques" uniqKey="Duranteau J" first="Jacques" last="Duranteau">Jacques Duranteau</name><name sortKey="Fauquet Alekhine, Philippe" sort="Fauquet Alekhine, Philippe" uniqKey="Fauquet Alekhine P" first="Philippe" last="Fauquet-Alekhine">Philippe Fauquet-Alekhine</name><name sortKey="Lallali, Karim" sort="Lallali, Karim" uniqKey="Lallali K" first="Karim" last="Lallali">Karim Lallali</name><name sortKey="Leguen, Morgan" sort="Leguen, Morgan" uniqKey="Leguen M" first="Morgan" last="Leguen">Morgan Leguen</name><name sortKey="Marhar, Fouad" sort="Marhar, Fouad" uniqKey="Marhar F" first="Fouad" last="Marhar">Fouad Marhar</name><name sortKey="Roulleau, Philippe" sort="Roulleau, Philippe" uniqKey="Roulleau P" first="Philippe" last="Roulleau">Philippe Roulleau</name><name sortKey="Schnell, David" sort="Schnell, David" uniqKey="Schnell D" first="David" last="Schnell">David Schnell</name><name sortKey="Trabold, Fabien" sort="Trabold, Fabien" uniqKey="Trabold F" first="Fabien" last="Trabold">Fabien Trabold</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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