Comparison of Simulated Standard Versus Modified Jaw Thrust I-gel Insertion Technique in Novice Anesthesiologists

NCT05545163 | Completed DMC

• 1 other identifier: 2021-6257-21893
• Study Type: interventional
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of study was to compare insertion ease by modified I-gel jaw thrust insertion technique and standard I-gel insertion technique on the basis of I-gel insertion attempts and I-gel insertion time duration. The secondary objective of study was to analyse the impact of prior information for airway device, insertion techniques, general or specific work experience in airway management with the ease of both study's insertion techniques. And, tertiary objective of study was to analyse the trainee's preference insertion technique at the basis of learning method and practical adaptability. Hypothesis: The modified I-gel jaw thrust insertion technique is easy to understand and practice than the standard I-gel insertion technique at the beginning of airway management training among the novice anesthesiologists.

Conditions

Training Group, Sensitivity; Igel

Keywords

I-gel; Technique; Standard; Modified; Simulation

Outcome Measures

Primary Outcomes (2)

• The ease of I-gel insertion was measured on the basis of number of I-gel insertion attempts.

  Ease of I-gel insertion in mannequin mouth was measured by performing the 10 times insertion of I-gel with both study techniques in mannequin mouth by trainees.

  5 minutes

• The ease of I-gel insertion was measured on the basis of final I-gel insertion time taken duration.

  The total time duration of final I-gel insertion confirmation in mannequin mouth was recorded. The time duration counting was started from I-gel holding in operator's hand to the confirmed successful insertion in mannequin mouth.

  5 minutes

Secondary Outcomes (4)

• The trainee's baseline knowledge was assessed for the type of supraglottic airway devices and I-gel insertion techniques.

  1 minute

• The trainee's baseline knowledge was assessed for the type I-gel insertion techniques.

  1 minute

• The trainee's baseline knowledge was assessed for the general or specific work experience in airway management using the I-gel.

  1 minute

• The trainee's baseline knowledge was assessed for the studied modified jaw thrust I-gel insertion technique.

  2 minutes

Other Outcomes (3)

• The trainee's asked for the choice of I-gel insertion technique at the start of learning airway management using the I-gel at his level

  2 minutes

• The trainee's asked for the easy learning of I-gel insertion technique at his level of training.

  2 minutes

• The trainee's asked for the preference of I-gel insertion technique in his practice at his level of training.

  1 minute

Study Arms (2)

I-gel with standard insertion technique

NO INTERVENTION

in this arm, trainees performed the standard I-gel insertion technique

Modified jaw thrust I-gel insertion technique

EXPERIMENTAL

in this arm, trainees performed modified jaw thrust insertion technique

Device: I-gel with standard insertion technique

Interventions

I-gel with standard insertion technique DEVICE

Standard I-gel insertion technique (grasping I-gel from integral bite block site and cuff facing towards chin and pressing down the manikin chin. I-gel introduced in patient's mouth in a direction towards hard palate. Then I-gel slided downwards and backwards along hard palate with a continuous but gentle push until a definitive resistance is felt) Modified jaw thrust technique (grasping I-gel from integral bite block site and cuff facing towards chin and pressing down manikin chin. I-gel introduced in patient's mouth in a direction towards hard palate with gently advancing into oropharynx. Then after, I-gel left in oral cavity and both hands used to thrust jaw by lifting angle of mandible with little fingers and other fingers to stabilise jaw. And, at this point, both hand's thumbs used to apply balance force from I-gel stem head towards final placement position by looking at integral bite block mark at incisor teeth level)

Also known as: Modified jaw thrust I-gel insertion technique

Modified jaw thrust I-gel insertion technique

Eligibility Criteria

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

You may qualify if:

• First year anaesthesia residents
• Using adult mannequin

You may not qualify if:

• Pediatric mannequin
• Participant's refusal

Sponsors & Collaborators

• Aga Khan University: lead

Study Sites (1)

Aga Khan University Hospital

Karachi, Sindh, 74800, Pakistan

Location

Related Publications (7)

• Boet S, Borges BC, Naik VN, Siu LW, Riem N, Chandra D, Bould MD, Joo HS. Complex procedural skills are retained for a minimum of 1 yr after a single high-fidelity simulation training session. Br J Anaesth. 2011 Oct;107(4):533-9. doi: 10.1093/bja/aer160. Epub 2011 Jun 9.

  PMID: 21659406 BACKGROUND

• Kennedy CC, Cannon EK, Warner DO, Cook DA. Advanced airway management simulation training in medical education: a systematic review and meta-analysis. Crit Care Med. 2014 Jan;42(1):169-78. doi: 10.1097/CCM.0b013e31829a721f.

  PMID: 24220691 BACKGROUND

• Sun Y, Pan C, Li T, Gan TJ. Airway management education: simulation based training versus non-simulation based training-A systematic review and meta-analyses. BMC Anesthesiol. 2017 Feb 1;17(1):17. doi: 10.1186/s12871-017-0313-7.

  PMID: 28143389 BACKGROUND

• Lee DW, Kang MJ, Kim YH, Lee JH, Cho KW, Kim YW, Cho JH, Kim YS, Hong CK, Hwang SY. Performance of intubation with 4 different airway devices by unskilled rescuers: manikin study. Am J Emerg Med. 2015 May;33(5):691-6. doi: 10.1016/j.ajem.2015.03.006. Epub 2015 Mar 12.

  PMID: 25800412 BACKGROUND

• Jackson KM, Cook TM. Evaluation of four airway training manikins as patient simulators for the insertion of eight types of supraglottic airway devices. Anaesthesia. 2007 Apr;62(4):388-93. doi: 10.1111/j.1365-2044.2007.04983.x.

  PMID: 17381577 BACKGROUND

• Kumar D, Hayat M, Khan A. i-gel insertion with modified jaw thrust technique. Indian J Anaesth. 2015 Feb;59(2):132-3. doi: 10.4103/0019-5049.151383. No abstract available.

  PMID: 25788752 BACKGROUND

• Bhardwaj M, Singhal SK, Rashmi, Dahiya A. A prospective randomised trial to compare three insertion techniques for i-gel placement: Standard, reverse, and rotation. Indian J Anaesth. 2020 Jul;64(7):618-623. doi: 10.4103/ija.IJA_937_19. Epub 2020 Jul 1.

  PMID: 32792739 BACKGROUND

MeSH Terms

Conditions

Hypersensitivity; Ige Responsiveness, Atopic

Condition Hierarchy (Ancestors)

Immune System Diseases

Study Officials

• dileep kumar, MD

  Aga Khan University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Each novice resident will place ten times I-gel insertion with each insertion technique in randomized cross over manner by dividing the residents in two groups (5 residents in each group), by draw method. The one group will place I-gel with standard insertion technique and other group will place by modified jaw thrust I-gel insertion technique, then after, the groups will switch over with concerned insertion techniques

Study Record Dates

• First Submitted: September 13, 2022
• First Posted: September 19, 2022
• Study Start: October 2, 2021
• Primary Completion: October 2, 2021
• Study Completion: October 2, 2021
• Last Updated: September 19, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: SAP, CSR
• Time Frame: Data is available
• Access Criteria: Through Publication only

Locations

PA (1)