3D Printed Model Simulator or Virtual Reality Software for Training Fiberoptic Intubation Skill

NCT05143606 | Completed

• 1 other identifier: 877/2021
• Study Type: interventional
• Target: 27
• Locations: 1 country
• Sites: 1

Brief Summary

Fiberoptic-assisted intubation is an advanced skill that requires learners' practice as well as clinical experience during the anesthesiology residency training period. Current training methods including airway simulators and virtual reality software are used by medical schools worldwide. The objective of this study is to compare the learner's fiberoptic intubation performance between training with a 3D-printed simulator and a virtual reality software.

Conditions

Intubation, Endotracheal

Keywords

Fiberoptic bronchoscopy; intubation skill; deliberate practice

Outcome Measures

Primary Outcomes (1)

• Global rating scale score for fiberoptic intubation performance (GRS scale)

  The 5-point rating scale assessing multiple aspects of fiberoptic intubation performance. The assessment includes, on the scale of 1 (minimum score) to 5 (maximum score), the following; 1. Control 2. Progression 3. Orientation 4. Views and collision 5. Accuracy

  1 week after self-directed practice session

Secondary Outcomes (1)

• Time to successful intubation

  1 week after self-directed practice session

Study Arms (2)

3D printed simulator

EXPERIMENTAL

The participants in this arm will undergo two self-directed training sessions on a custom-made 3D-printed airway simulator. The participants will use a standard intubating fiberoptic bronchoscope to practice fiberoptic-assisted nasal intubation. The sessions will be one week apart. Each session is 30 minutes per participant.

Other: 3D-printed airway simulator

Virtual reality software

EXPERIMENTAL

The participants in this arm will practice fiberoptic-assisted nasal intubation using the free virtual reality software (AirwayEX) on their mobile phones or computer tablets. Two practice sessions are required by the investigators. The sessions will be one week apart. Each session is 30 minutes per participant. The participants in this arm will have the opportunity to practice on the software as often as they feel necessary. All the additional practice data will be recorded.

Other: virtual reality software, AirwayEx

Interventions

3D-printed airway simulator OTHER

Two self-directed training on a standard fiberoptic bronchoscope and a custom-made 3D airway simulator.

3D printed simulator

virtual reality software, AirwayEx OTHER

Two self-directed training on AirwayEx. With additional training as necessary.

Virtual reality software

Eligibility Criteria

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

You may qualify if:

• Second-year anesthesiology resident

You may not qualify if:

• Refuse to participate

Sponsors & Collaborators

• Mahidol University: lead

Study Sites (1)

Siriraj Hospital

Bangkok, 10700, Thailand

Location

Related Publications (12)

• Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, Hagberg CA, Caplan RA, Benumof JL, Berry FA, Blitt CD, Bode RH, Cheney FW, Connis RT, Guidry OF, Nickinovich DG, Ovassapian A; American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013 Feb;118(2):251-70. doi: 10.1097/ALN.0b013e31827773b2. No abstract available.

  PMID: 23364566 BACKGROUND

• Wiles MD, McCahon RA, Armstrong JAM. An Audit of Fibreoptic Intubation Training Opportunities in a UK Teaching Hospital. Journal of Anesthesiology. 2014;703820.

  BACKGROUND

• Clarke RC, Gardner AI. Anaesthesia trainees' exposure to airway management in an Australian tertiary adult teaching hospital. Anaesth Intensive Care. 2008 Jul;36(4):513-5.

  PMID: 18714618 BACKGROUND

• Naik VN, Matsumoto ED, Houston PL, Hamstra SJ, Yeung RY, Mallon JS, Martire TM. Fiberoptic orotracheal intubation on anesthetized patients: do manipulation skills learned on a simple model transfer into the operating room? Anesthesiology. 2001 Aug;95(2):343-8. doi: 10.1097/00000542-200108000-00014.

  PMID: 11506104 BACKGROUND

• Chao I, Young J, Coles-Black J, Chuen J, Weinberg L, Rachbuch C. The application of three-dimensional printing technology in anaesthesia: a systematic review. Anaesthesia. 2017 May;72(5):641-650. doi: 10.1111/anae.13812. Epub 2017 Jan 27.

  PMID: 28127746 BACKGROUND

• Carter JC, Broadbent J, Murphy EC, Guy B, Baguley KE, Young J. A three-dimensional (3D) printed paediatric trachea for airway management training. Anaesth Intensive Care. 2020 May;48(3):243-245. doi: 10.1177/0310057X20925827. Epub 2020 Jun 14.

  PMID: 32536185 BACKGROUND

• Jiang B, Ju H, Zhao Y, Yao L, Feng Y. Comparison of the Efficacy and Efficiency of the Use of Virtual Reality Simulation With High-Fidelity Mannequins for Simulation-Based Training of Fiberoptic Bronchoscope Manipulation. Simul Healthc. 2018 Apr;13(2):83-87. doi: 10.1097/SIH.0000000000000299.

  PMID: 29621098 BACKGROUND

• Giglioli S, Boet S, De Gaudio AR, Linden M, Schaeffer R, Bould MD, Diemunsch P. Self-directed deliberate practice with virtual fiberoptic intubation improves initial skills for anesthesia residents. Minerva Anestesiol. 2012 Apr;78(4):456-61. Epub 2012 Feb 6.

  PMID: 22310190 BACKGROUND

• Kadys A, Rancevienė D, Macas A. Using Smartphone Application iLarynx to Teach Novices to Perform Fiber Optic Intubation. Nursing education, research, & practice: NERP. Kaunas: Lietuvos sveikatos mokslų universitetas, 2016, vol. 6, no. 1. 2016.

  BACKGROUND

• Ho BHK, Chen CJ, Tan GJS, Yeong WY, Tan HKJ, Lim AYH, Ferenczi MA, Mogali SR. Multi-material three dimensional printed models for simulation of bronchoscopy. BMC Med Educ. 2019 Jun 27;19(1):236. doi: 10.1186/s12909-019-1677-9.

  PMID: 31248397 BACKGROUND

• Chan JK, Ng I, Ang JP, Koh SM, Lee K, Mezzavia P, Morris J, Loh F, Segal R. Randomised controlled trial comparing the Ambu(R) aScope2 with a conventional fibreoptic bronchoscope in orotracheal intubation of anaesthetised adult patients. Anaesth Intensive Care. 2015 Jul;43(4):479-84. doi: 10.1177/0310057X1504300410.

  PMID: 26099760 BACKGROUND

• K Latif R, Bautista A, Duan X, Neamtu A, Wu D, Wadhwa A, Akca O. Teaching basic fiberoptic intubation skills in a simulator: initial learning and skills decay. J Anesth. 2016 Feb;30(1):12-9. doi: 10.1007/s00540-015-2091-z. Epub 2015 Oct 22.

  PMID: 26493397 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The outcomes assessors are blinded to each participant's group allocation. The assessors will be provided with video clips of the participants performing FOI. The identity and group allocation of each participant will not be revealed during the assessment.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: November 18, 2021
• First Posted: December 3, 2021
• Study Start: January 15, 2022
• Primary Completion: April 18, 2022
• Study Completion: April 18, 2022
• Last Updated: May 13, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

TH (1)