Figure 84-14 Prototypic example of a simulation center. The instructors in the control room look through a one-way mirror into the operating room/intensive care unit (ICU) while they control the "patient" from the simulator workstation and direct the audiovisual recording. Various remote-controllable video cameras, microphones, and loudspeakers in the simulator room provide the best possible view and sound from the "scene." Trainees perform on the simulator mannequin and the vital sign monitors and have to interact with the personnel involved at the same time. Nonactive participants can watch the scenarios live from the adjacent debriefing room, where the video-assisted debriefing session takes place right after every scenario (former simulation center at University of Tübingen, Germany). (From Decker K, Rall M: Simulation in anaesthesia: A step towards improved patient safety. Minim Invasive Ther Allied Technol 9:325–332, 2000.)