Virtual Reality Simulation for Teaching and Assessment of Anesthesia Crisis Management

NCT03434002 | Unknown

• 1 other identifier: 15-9985
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, Investigators are going to develop and test a device to apply virtual reality simulation to improve and help for teaching and assessment of anesthesia crisis management.

Conditions

Patient Simulation

Keywords

Virtual Reality Simulation; Teaching and Assessment; Anesthesia Crisis Management

Outcome Measures

Primary Outcomes (1)

• Number of tasks correctly performed

  The primary outcome in performance evaluation is the number of tasks correctly performed during management of the Local Anesthetic Systemic Toxicity event. Investigators will use the same performance evaluation tool. The performance evaluation tool will assess the trainee's performance (i.e., medical management of Local Anesthetic Systemic Toxicity) per performance evaluation tool

  1 hour

Secondary Outcomes (1)

• use the Anesthesiologists' Non-Technical Skills (ANTS) tool

  1 hour

Study Arms (2)

Arm-A

EXPERIMENTAL

Randomized 15 residents out of 30 Post Graduate Year 1 or 2 anesthesia residents (not involved in initial Virtual Reality testing) will be receive Local Anesthetic Systemic Toxicity simulation training by Virtual Reality simulation

Other: Training by Virtual Reality Simulation

Arm-B

EXPERIMENTAL

Randomized other 15 residents out of 30 Post Graduate Year 1 or 2 anesthesia residents (not involved in initial Virtual Reality testing) will be receive Local Anesthetic Systemic Toxicity simulation training by mannequin based simulation

Other: Training by Mannequin Based Simulation

Interventions

Training by Virtual Reality Simulation OTHER

Those Randomized 15 residents will be receive Local Anesthetic Systemic Toxicity simulation training by Virtual Reality simulation and after two weeks, they will be evaluated by investigators by using the same performance evaluation tool.

Arm-A

Training by Mannequin Based Simulation OTHER

Randomized other 15 residents will be receive Local Anesthetic Systemic Toxicity simulation training by mannequin based simulation and after two weeks, they will be evaluated by investigators by using the same performance evaluation tool.

Arm-B

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Anesthesia resident or fellow volunteers from University of Toronto

You may not qualify if:

• Unwilling to enter the study
• Previous experience with simulator based teaching on local anesthetic systemic toxicity

Sponsors & Collaborators

• University Health Network, Toronto: lead

Study Sites (1)

Toronto Western Hospital

Toronto, Ontario, M5T 2S8, Canada

RECRUITING

Related Publications (12)

• ACGME Outcome Project: Table of Toolbox Methods. (Accessed 1 Sept 2015, at http://njms.rutgers.edu/culweb/medical/documents/ToolboxofAssessmentMethods.pdf).

  BACKGROUND

• McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003-2009. Med Educ. 2010 Jan;44(1):50-63. doi: 10.1111/j.1365-2923.2009.03547.x.

  PMID: 20078756 RESULT

• Salas E, DiazGranados D, Weaver SJ, King H. Does team training work? Principles for health care. Acad Emerg Med. 2008 Nov;15(11):1002-9. doi: 10.1111/j.1553-2712.2008.00254.x. Epub 2008 Oct 1.

  PMID: 18828828 RESULT

• Sorbero ME, Farley DO, Mattke S, Lovejoy S. Outcome measures for effective teamwork in inpatient care (RAND technical report TR-462-AHRQ). Arlington, VA: RAND Corporation, 2008.

  RESULT

• Ziv A, Ben-David S, Ziv M. Simulation based medical education: an opportunity to learn from errors. Med Teach. 2005 May;27(3):193-9. doi: 10.1080/01421590500126718.

  PMID: 16011941 RESULT

• Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the military health system: How can team training help? Hum Resour Manag Rev. 2006;16:396-415.

  RESULT

• Leblanc VR. Review article: simulation in anesthesia: state of the science and looking forward. Can J Anaesth. 2012 Feb;59(2):193-202. doi: 10.1007/s12630-011-9638-8. Epub 2011 Dec 17.

  PMID: 22179792 RESULT

• Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ, Hamstra SJ. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011 Sep 7;306(9):978-88. doi: 10.1001/jama.2011.1234.

  PMID: 21900138 RESULT

• Grantcharov TP, Kristiansen VB, Bendix J, Bardram L, Rosenberg J, Funch-Jensen P. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg. 2004 Feb;91(2):146-50. doi: 10.1002/bjs.4407.

  PMID: 14760660 RESULT

• Nguyen N, Elliott JO, Watson WD, Dominguez E. Simulation Improves Nontechnical Skills Performance of Residents During the Perioperative and Intraoperative Phases of Surgery. J Surg Educ. 2015 Sep-Oct;72(5):957-63. doi: 10.1016/j.jsurg.2015.03.005. Epub 2015 Apr 21.

  PMID: 25911460 RESULT

• Neal JM, Hsiung RL, Mulroy MF, Halpern BB, Dragnich AD, Slee AE. ASRA checklist improves trainee performance during a simulated episode of local anesthetic systemic toxicity. Reg Anesth Pain Med. 2012 Jan-Feb;37(1):8-15. doi: 10.1097/AAP.0b013e31823d825a.

  PMID: 22157743 RESULT

• Koutantji, Maria, et al.

  RESULT

Study Officials

• Vincent Chan

  Toronto Western Hospital, University Health Network, University of Toronto

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Vincent Chan

CONTACT

416-603-5118; vincent.chan@uhn.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 1. building the technical components for interaction within the virtual reality environment (phase 1); 2. application of this virtual reality in medical training (phase 2) and 3. measurement of training effectiveness with this Virtual Reality simulator against mannequin based training (phase 3).

Study Record Dates

• First Submitted: January 17, 2018
• First Posted: February 15, 2018
• Study Start: January 1, 2018
• Primary Completion: August 1, 2019
• Study Completion: January 1, 2020
• Last Updated: February 15, 2018

Record last verified: 2018-02

Locations

CA (1)