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Virtual Reality Simulated Patient Encounters

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Anesthesia Post-op

In partnership with: University of Pennsylvania School of Nursing

Book Demo

Scenario Description

In the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is completed, the Student Registered Nurse Anesthetist (SRNA) turns the anesthesia off. Still, the deficiency causes the patient to remain under the influence of the paralytic even as the sedative wears off. This is apparent through 0/4 twitches in Train of Four monitoring, the patient’s inability to follow commands or respond physically tachycardia, and hypertension. The SNA increases anesthesia and waits for the paralytic to wear off before beginning an extubation protocol.

Formerly Known As: Anesthesia

Learning Objectives

– Learner recognizes the absence of spontaneous respirations, following commands, and a 0/4 Train of Four
– Learner verbalizes suspected PchE deficiency
– Learner turns anesthesia gas back on and increases ventilator control settings
– Learner recognizes the signs that the patient is ready to be extubated
– Extubates based on the American Society of Anesthesiology Extubation Criteria

MINIMUM:

OS: Windows 10
Processor: Intel Core i5-2300 | AMD FX-4350
Memory: 4 GB RAM
Graphics: Nvidia GeForce GTX 2060
DirectX: Version 11
Storage: 12 GB available space

RECOMMENDED:

OS: Windows 10
Processor: Intel Core i7-2300 | AMD FX-4350
Memory: 8 GB RAM
Graphics: Nvidia GeForce GTX 3060
DirectX: Version 11
Storage: 12 GB available space

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