Difficult Airway Simulation-based Training

NCT05913492 | Completed

• 1 other identifier: 4012
• Study Type: observational
• Target: 67
• Locations: 1 country
• Sites: 1

Brief Summary

Difficult airways remain a significant problem in anaesthesia, intensive care and emergency medicine. Simulation-based training gives better outcomes compared to non-simulation and non-intervention education. However, it remains unclear how long the acquired skills are retained and how often simulation training should repeat. The study aimed to investigate the efficacy and skills retention in training for difficult airway management in anaesthesiologists. After ethical committee approval, we conducted a prospective control study at the postgraduate Department of Surgery, Anaesthesiology and Intensive Therapy (Bogomolets National Medical University) from July to December 2022. Anaesthesiologists who applied for the continuous medical education course "Difficult airways management" were involved in the study. The simulation room included a mannequin Laerdal SimMom Advanced Patient Simulator, vital monitor, anaesthesia station LEON and airway devices. Each volunteer went through two simulation scenarios of difficult airway management: 1) "cannot intubate, can ventilate" (CI), 2) "cannot intubate, cannot ventilate" (CICV) with the assistance of the training centre operator. The primary endpoints included: more than three laryngoscopy attempts; supraglottic airway attempt missing; call for help skip; failure to initiate a surgical airway (for the CICV scenario). Secondary endpoints included: time to call for help; mean duration of desaturation; use of bougie; use of video laryngoscope (Airtraq); mean number of intubation attempts; improper usage of equipment of equipment, time to initiation of surgical airway preparation; time to initiation of surgical airway ventilation.

Conditions

Intubation; Difficult or Failed; Educational Problems; Critical Illness

Keywords

difficult airways; simulation training

Outcome Measures

Primary Outcomes (1)

• Significant deviations from the DAS protocol

  more than three laryngoscopy attempts

  2 hours

Secondary Outcomes (1)

• Other deviations from DAS protocol

  2 hours

Study Arms (3)

Group 1

Each volunteer went through two simulation scenarios of difficult airway management on the first time

Group 2

Each volunteer went through two simulation scenarios of difficult airway management after training in difficult airway management according to DAS guidelines, using the same equipment as during the simulation

Behavioral: Simulation training

Group 3

Each volunteer went through two simulation scenarios of difficult airway management after 6 month

Behavioral: Simulation training

Interventions

Simulation training BEHAVIORAL

Each volunteer went through two simulation scenarios of difficult airway management: 1) "cannot intubate, can ventilate" (CI), 2) "cannot intubate, cannot ventilate" (CICV) with the assistance of the training centre operator. Following the first simulation round, volunteers were trained on the same day in difficult airway management according to DAS guidelines, using the same equipment as during the simulation. The participants repeated the simulation scenarios immediately after the training and six months later.

Group 2; Group 3

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adult anesthesiologists volunteers

You may qualify if:

• Adult anesthesiologists volunteers

You may not qualify if:

• Refusion to participate, age more than 70 years

Sponsors & Collaborators

• Bogomolets National Medical University: lead

Study Sites (1)

Bogomolets NMU

Kyiv, Ukraine

Location

Related Publications (1)

• Bielka K, Kuchyn I, Fomina H, Khomenko O, Kyselova I, Frank M. Difficult airway simulation-based training for anaesthesiologists: efficacy and skills retention within six months. BMC Anesthesiol. 2024 Jan 31;24(1):44. doi: 10.1186/s12871-024-02423-x.

  PMID: 38297196 DERIVED

MeSH Terms

Conditions

Critical Illness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associated professor at the Department of OF SURGERY, ANESTHESIOLOGY AND INTENSIVE THERAPY OF POSTGRADUATE EDUCATION

Study Record Dates

• First Submitted: May 15, 2023
• First Posted: June 22, 2023
• Study Start: July 1, 2022
• Primary Completion: December 31, 2022
• Study Completion: January 1, 2023
• Last Updated: June 22, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will share

Locations

UA (1)