Validation status of definitive airway management simulators: a systematic review
Authors' conclusion
Definitive airway simulators are commonly used for training and device evaluation yet are rarely subjected to robust validation.
Study context
- Population
- Studies assessing validity of definitive airway management simulators used in anaesthesia and airway training29 simulators
- Participants
- 17 participants
- Outcome
- Validation of airway simulators
Methodological detailsPRISMA guidelines, Joanna Briggs Institute checklist quality assessment, Level of Recommendation per simulator, Search of PubMed, Embase, Cochrane Library up to September 2025; 939 studies screened
- PRISMA guidelines
- Joanna Briggs Institute checklist quality assessment
- Level of Recommendation per simulator
- Search of PubMed, Embase, Cochrane Library up to September 2025; 939 studies screened
Pooled result
As reported in the abstract
- Validation domains varied widely; most studies assessed only one or two domains
- Predictive validity (simulator performance linked to clinical outcomes) rarely evaluated
- High-fidelity simulators (ORSIM®, SimMan®) had the most comprehensive validation across multiple domains
- Validation quality did not consistently correlate with simulator fidelity; several low-fidelity models showed short-term skill transfer comparable with more complex systems
Original publication
Validation status of definitive airway management simulators: a systematic review. Br J Anaesth. Published 13 March 2026. doi:10.
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