Increase Residents' Confidence in Emergency Front of Neck Access (eFONA).

NCT06491147 | Not Yet Recruiting

• 1 other identifier: 2024-48
• Study Type: observational
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

Emergency front of neck access (eFONA) in a non-ventilated, non-oxygenated (CVCO) patient scenario is a life-saving and important competency for anesthesiologists to learn and even repeat intermittently. The Difficult Airway Society (DAS) guideline does not elaborate on how to conduct eFONA training, while the Canadian guideline states that successful performance of such rarely used skills requires regular practice in a simulation environment that focuses on technique and provides expert feedback. In this guideline, it was also mentioned that during training, procedures can be repeatedly performed in a simulate environment and interrupted for immediate feedback. In line with these recommendations, the investigators will create an easy, inexpensive, feasible and repeatable simulation-based learning environment in the operating room of the hospital. In this model study, it is aimed to teach the cricothyrotomy technique to anesthesiologists who have no experience in eFONA with an easy set up and to increase the confidence of the participants in this subject.

Conditions

Unexpected Difficult Airway

Outcome Measures

Primary Outcomes (1)

• Emergency front of neck access training practice on a model

  In this model study, it was aimed to teach the cricothyrotomy technique to anesthesiologists who had no experience in Emergency front of neck access (eFONA) and to increase the confidence of the participants in this subject. The participants who participated in the research will be asked the question "If you need to create an emergency FONA procedure, how long would you open it?", the answers will be recorded and compared with the values after the research. Thus, it is aimed to increase the self-confidence of residents in eFONA.

  6 months

Study Arms (5)

1st year residency

Other: Emergency front of neck access

2nd year residency

Other: Emergency front of neck access

3rd year residency

Other: Emergency front of neck access

4th year residency

Other: Emergency front of neck access

5th year residency

Other: Emergency front of neck access

Interventions

Emergency front of neck access OTHER

The algorithm in the DAS manual will be explained. Following this, the researcher will demonstrate the scalpel spark plug technique with a 4-step approach that is frequently used in skill teaching. In step 1 of this approach, the technique will be demonstrated without any verbal explanation. In the 2nd step, the technique will be demonstrated with verbal expression. In the 3rd step, the participant will be asked to have the trainer do it. In the 4th and last step, the participant will apply eFONA from start to finish.

1st year residency; 2nd year residency; 3rd year residency; 4th year residency; 5th year residency

Eligibility Criteria

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

Study Population

After obtaining participant consent, anesthesiology residents with no previous emergency FONA experience will be included in the study. Participants who do not give consent and have previous experience will be excluded from the study. Participants will be divided into groups according to their duration of anesthesiology residency: 1st year, 2nd year, 3rd year, 4th and 5th year residents.

You may qualify if:

• Working as an assistant doctor in Kocaeli City Hospital Anesthesiology and Reanimation Clinic

You may not qualify if:

• Those who have previously received training on FONA

Sponsors & Collaborators

• Kocaeli City Hospital: lead

Study Officials

• mehmet yilmaz

  Kocaeli City Hospital Anesthesiology and Reanimation

  PRINCIPAL INVESTIGATOR

Central Study Contacts

mehmet yilmaz

CONTACT

+905052174432; drmyilmaz33@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 11, 2024
• First Posted: July 8, 2024
• Study Start: June 30, 2024
• Primary Completion: December 21, 2024
• Study Completion: December 31, 2024
• Last Updated: July 8, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share