Simulation education in anesthesia training: A case report of successful resuscitation of bupivacaine-induced cardiac arrest linked to recent simulation training

Hugh M. Smith, Adam K. Jacob, Leal G. Segura, John A. Dilger, Laurence C. Torsher

Research output: Contribution to journalArticle

85 Scopus citations


Simulation training is rapidly becoming an integral element of the education curriculum of anesthesia residency programs. We report a case of successful resuscitation of bupivacaine-induced cardiac arrest treated with IV lipid emulsion by providers who had recently participated in simulation training involving a scenario nearly identical to this case. Upon debriefing, it was determined that the previous training influenced execution of the following steps: rapid problem recognition, prompt initiation of specific therapy in the setting of supportive advanced cardiac life support measures, and coordinated team efforts. Although the true cause of efficient resuscitation and ultimate recovery cannot be proven, the efficiency of the resuscitation process, including timely administration of lipid emulsion, is evidence that simulation may be useful for training providers to manage rare emergencies.

Original languageEnglish (US)
Pages (from-to)1581-1584
Number of pages4
JournalAnesthesia and Analgesia
Issue number5
StatePublished - May 2008


ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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