Recovery Napping Protocol for Anesthesiologist Performance

NCT05619081 | Completed

• 1 other identifier: R-NAP
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Sleep deprivation impacts performance of shift workers in health care. Anesthesiologists are a population at risk that endures stressful situations and changing working hours. The decreased performance could be the cause for undesirable events. Power-napping is known to be an efficient technique to mitigate the detrimental effects of sleep deprivation and is a feasible measure to implement in critical care units. Still there are few insights that measure the clinical relevance in the field. With the high-fidelity simulations this study is able to measure clinical performance and test for those effects. Therefore we propose a prospective, monocentric study to evaluate a power-napping protocol (less than 30min)

Conditions

Sleep Deprivation; Critical Incident; Sleep; Anesthesia

Keywords

Power-napping; High Fidelity Simulation; Night Shift; Clinical Performance

Outcome Measures

Primary Outcomes (2)

• Score of technical clinical performance via rating grids

  Technical clinical performance according to a standardizes grid (Score from 0 to 100) for each critical care scenario evaluated by experts based on the video. Higher scores indicate better performance

  2 days

• Score of Non-Technical clinical performance via Ottawa Crisis Resource Management Scale

  Non-technical clinical performance rated by experts based on the video from 6 to 42 of the Ottawa Crisis Resource Management Scale. Higher scores indicate better performance

  2 days

Secondary Outcomes (6)

• Heart Rate as physiological stress measure

  2 days

• Visual analogue scale for the evaluation of psychological stress

  2 days

• Reaction time in Alertness task

  2 days

• Sleepiness Score

  2 days

• Pain Empathy Accuracy

  2 days

Study Arms (2)

NAP GROUP

EXPERIMENTAL

30min of Powernap before second performance measure

Behavioral: POWERNAP

NO NAP GROUP

NO INTERVENTION

30min of free quiet occupation before second performance measure

Interventions

POWERNAP BEHAVIORAL

POWERNAP of max 30min while participants ly down comfortably

NAP GROUP

Eligibility Criteria

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

You may qualify if:

• Second to Fifth year of residency
• Completing night shifts at anesthesia/reanimation unit

You may not qualify if:

• No Consent

Sponsors & Collaborators

• Claude Bernard University: lead

Study Sites (1)

Claude Bernard University

Lyon, France

Location

Related Publications (9)

• Rosekind MR, Gander PH, Gregory KB, Smith RM, Miller DL, Oyung R, Webbon LL, Johnson JM. Managing fatigue in operational settings 2: An integrated approach. Behav Med. 1996 Winter;21(4):166-70. doi: 10.1080/08964289.1996.9933754.

  PMID: 8731493 BACKGROUND

• Nollet M, Wisden W, Franks NP. Sleep deprivation and stress: a reciprocal relationship. Interface Focus. 2020 Jun 6;10(3):20190092. doi: 10.1098/rsfs.2019.0092. Epub 2020 Apr 17.

  PMID: 32382403 BACKGROUND

• Ehooman F, Wildenberg L, Manquat E, Makoudi S, Demiri S, Carbonne H, Bardon J. Connected devices to evaluate sleep, physical activity and stress pattern of anaesthesiology and intensive care residents. Eur J Anaesthesiol. 2020 Jul;37(7):616-618. doi: 10.1097/EJA.0000000000001207. No abstract available.

  PMID: 32516181 BACKGROUND

• Stewart NH, Arora VM. The Impact of Sleep and Circadian Disorders on Physician Burnout. Chest. 2019 Nov;156(5):1022-1030. doi: 10.1016/j.chest.2019.07.008. Epub 2019 Jul 25.

  PMID: 31352036 BACKGROUND

• Landrigan CP, Rothschild JM, Cronin JW, Kaushal R, Burdick E, Katz JT, Lilly CM, Stone PH, Lockley SW, Bates DW, Czeisler CA. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004 Oct 28;351(18):1838-48. doi: 10.1056/NEJMoa041406.

  PMID: 15509817 BACKGROUND

• Howard SK, Gaba DM, Smith BE, Weinger MB, Herndon C, Keshavacharya S, Rosekind MR. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003 Jun;98(6):1345-55; discussion 5A. doi: 10.1097/00000542-200306000-00008.

  PMID: 12766642 BACKGROUND

• Arzalier-Daret S, Buleon C, Bocca ML, Denise P, Gerard JL, Hanouz JL. Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study. Anaesth Crit Care Pain Med. 2018 Apr;37(2):161-166. doi: 10.1016/j.accpm.2017.05.010. Epub 2017 Sep 4.

  PMID: 28882740 BACKGROUND

• Dutheil F, Bessonnat B, Pereira B, Baker JS, Moustafa F, Fantini ML, Mermillod M, Navel V. Napping and cognitive performance during night shifts: a systematic review and meta-analysis. Sleep. 2020 Dec 14;43(12):zsaa109. doi: 10.1093/sleep/zsaa109.

  PMID: 32492169 BACKGROUND

• Dutheil F, Danini B, Bagheri R, Fantini ML, Pereira B, Moustafa F, Trousselard M, Navel V. Effects of a Short Daytime Nap on the Cognitive Performance: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021 Sep 28;18(19):10212. doi: 10.3390/ijerph181910212.

  PMID: 34639511 BACKGROUND

MeSH Terms

Conditions

Sleep Deprivation

Condition Hierarchy (Ancestors)

Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Officials

• Jean-Jacques Lehot, PhD

  jean-jacques.lehot2@univ-lyon1.fr

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: M.D PhD, Principal Investigator

Model Details: Randomised Control Trial (RCT)

Study Record Dates

• First Submitted: September 30, 2022
• First Posted: November 16, 2022
• Study Start: November 8, 2022
• Primary Completion: June 30, 2023
• Study Completion: June 30, 2023
• Last Updated: November 17, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)