Assessing Usefulness of Virtual Reality Mobile Application in Flexible Videoscope Airway Training

NCT03663296 | Completed DMC

• 1 other identifier: AURA
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Flexible videoscope orotracheal intubation (FOI) technique is considered an important option in the management of predicted difficult airways. However, it is rarely performed in daily practice. Yet emergency physicians are expected to be able to perform this skill expertly during a crisis scenario. If it is not completed in a timely and proper fashion, the patient will deteriorate rapidly, resulting in morbidity or fatality. There is a significant learning curve to master this complex psychomotor skill. Providing sufficient training in FOI, particularly hands-on experience in real patients is difficult. Patients with known difficult airway requiring FOI present infrequently to the emergency room. Using patients with normal airway purely for teaching of FOI is ethically controversial. To avoid technical and ethical concerns of training involving real patients, conventional teaching methods incorporate the use of a low-fidelity manikin in replacement. However, the manikin anatomy often lacks the realism of a live human. The addition of virtual reality technology, in the form of a low-cost mobile application (Airway Ex) into the conventional simulation, may optimize learning by providing an ethical, cost-effective and more realistic modality to acquire the basic skills of FOI. If it is proven to be effective, efforts to integrate virtual reality technology into routine training of such procedures in the ED should be promoted. We hypothesize that the addition of virtual reality mobile application to conventional training will improve procedural skill dexterity and proficiency and hence, improve learner's satisfaction and confidence in performing FOI.

Conditions

Education, Medical

Outcome Measures

Primary Outcomes (1)

• Time taken for successful intubation

  time from advancing scope from manikin's mouth to confirmed placement of endotracheal tube through visualisation with videoscope

  5 minutes

Secondary Outcomes (1)

• Time taken for visualisation of vocal cords

  1 minute

Other Outcomes (1)

• Quality of flexible videoscope manipulation ability

  5 minutes

Study Arms (2)

Interventional

EXPERIMENTAL

Additional 30 minutes of self-directed learning and practice using the mobile application, after conventional training session

Other: Airway Ex App

Control

NO INTERVENTION

Conventional training session which includes didactic teaching and low-fidelity simulation session involving trainer's demonstration, followed by hands-on practice

Interventions

Airway Ex App OTHER

30 minutes of self-directed learning and practice using the mobile application

Interventional

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All doctors from Accidental \& Emergency Department of National University Hospital, Singapore

You may not qualify if:

• Refusal for consent

Sponsors & Collaborators

• National University Hospital, Singapore: lead

Study Sites (1)

National University Hospital, Singapore

Singapore, 119074, Singapore

Location

Study Officials

• Ying Wei Yau

  National University Hospital, Singapore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 2, 2018
• First Posted: September 10, 2018
• Study Start: July 24, 2018
• Primary Completion: August 11, 2018
• Study Completion: August 11, 2019
• Last Updated: March 13, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

SG (1)