High Fidelity Simulation and Sedation Training of Non-anesthesiologists Residents

NCT02722226 | Completed

• 1 other identifier: SedSim1
• Study Type: interventional
• Target: 32
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objective Sedation is a depression of consciousness varies between anxiolysis and general anesthesia. It is used to facilitate diagnostic tests and minor surgeries. Respiratory complication is the main side effect of the sedation. His Early diagnosis and adequate management prevent serious complications such as hypoxic brain damage or death. A development of a learning program of sedation is required. Simulation as a teaching tool has improved the clinical expertise of learners. The objective of the study is to evaluate the impact of a simulation based medical education program on the performance of non-resident anesthesiologists for the management of complications related to sedation. Methods This trial is randomized, controlled and single blinded. Non-resident anesthesiologists, without prior training on sedation, are included and randomized to receive or not a simulation based sedation learning. This program includes a pharmacology sedatives learning, teaching technical skills for airway management on low fidelity mannequin and high-fidelity simulation scenarios of these complications. Two evaluators, single-blinded, visualise the recorded performance of residents in simulation session. The evaluation is based on a performance checklist developed by Delphi technique. It compares the performance of the residents within the same group before and after the simulation based medical education program and to compare groups of residents. Data analysis The sample size is based on similar simulation studies. The results are compared with the variance analysis for repeated measures. The difference in performance before and after simulation is compared using a t test. The investigators hypotheses that improved performance scores following the simulation based medical education would put the dot on the importance of simulation as a learning tool.

Conditions

Performance of Non-anesthesiologists Residents for the Management of Sedation's Complications

Keywords

High fidelity simulation; Sedation; Medical education

Outcome Measures

Primary Outcomes (1)

• Improved residents performance after simulation based education, measured by previously built performance grid

  3 to 6 months

Study Arms (2)

Simulation based sedation learning (Intervention Group)

EXPERIMENTAL

The program includes online learning. It is followed by development of interactive presentations, based on simulated cases or simulated patients (actors), low fidelity simulation for specific technical skills as well as high fidelity scenarios of complications related to sedation.

Other: Simulation; Device: Airway management; Behavioral: Crisis resource management

Control Group

NO INTERVENTION

Interventions

Simulation OTHER

High fidelity simulation based sedation learning program

Simulation based sedation learning (Intervention Group)

Airway management DEVICE

Workshop on using airway management and oxygenation devices.

Simulation based sedation learning (Intervention Group)

Crisis resource management BEHAVIORAL

Learning crisis resource management principles

Simulation based sedation learning (Intervention Group)

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Residents from surgery programs, radiology, gastroenterology, pneumology, family medicine, emergency medicine of the University of Montreal
• Residents with academic supervision with 1: 1 by a senior during their clinical practice

You may not qualify if:

• Resident with prior instruction on sedation or advanced learning technical skills for airway management.
• Refusal to participate

Sponsors & Collaborators

• Issam Tanoubi: lead

Related Publications (1)

• Evain JN, Do T, Harkouk H, Drolet P, Perron R, Georgescu M, Robitaille A, Tanoubi I. Mastering Sedation and Associated Respiratory Events through Simulation-Based Training: A Randomised Controlled Trial Involving Non-Anaesthesiology Residents. Eur J Investig Health Psychol Educ. 2024 Feb 23;14(3):463-473. doi: 10.3390/ejihpe14030031.

  PMID: 38534892 DERIVED

MeSH Terms

Interventions

Airway Management; Crew Resource Management, Healthcare

Intervention Hierarchy (Ancestors)

Therapeutics; Patient Care Management; Health Services Administration

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: MD, Assistant Professor

Study Record Dates

• First Submitted: March 17, 2016
• First Posted: March 29, 2016
• Study Start: March 1, 2012
• Primary Completion: June 1, 2014
• Study Completion: July 1, 2014
• Last Updated: March 30, 2016

Record last verified: 2016-03