Skill Retention of Advanced Airway Techniques After Simulation Training

NCT06687395 | Completed DMC

• 1 other identifier: EK Nr: 1518/2024
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Background: FONA (front of neck access) is a surgical airway management technique used in emergency situations, primarily as the "last option" when less invasive airway management methods have failed. The need for FONA is extremely rare, which makes regular training in this skill all the more important. Study Objective: The objective of this study is to test "skill retention" three to four months after training on different cricothyrotomy models. The goal is to demonstrate that there is no intolerable difference in skill retention, regardless of whether FONA training is conducted on a commercially available cricothyrotomy model or on a self-made model. Population: The study population consists of 42 participants who are randomly assigned to two groups. Study Design: All participants begin with the same theoretical input. Following this, they complete training on their assigned practice model before undergoing an initial evaluation. Three to four months after the first evaluation, a reevaluation takes place, this time without any prior training. Parameters: The primary outcome parameter of the study is the score achieved on the checklist. Secondary outcome parameters include the time from the start of the procedure to the first successful ventilation and subjective assessment using a Likert scale questionnaire. Possible associations between checklist results and factors such as year of training, prior experience, clinical experience, and individual items on the subjective assessment questionnaire will be presented graphically in an exploratory manner and quantified using appropriate correlation coefficients. Hypothesis: The study aims to show that there is no intolerable difference in skill retention, regardless of whether FONA training takes place on a commercially available cricothyrotomy model or on a self-made model. This would open up the possibility of using cost-effective and readily accessible practice models for effective skill training.

Conditions

Educational Problems; Critical Incident; Emergencies; Airway Complication of Anesthesia

Outcome Measures

Primary Outcomes (1)

• Non-inferiority of the training on the self-made model in terms of achieved checklist points

  checklist points (0-19)

  3-4 months

Secondary Outcomes (2)

• years of resideny and prior experience

  3-4 months

• time from the start of the procedure to the first successful ventilation

  3-4 months

Study Arms (2)

medium/high fidelity model

OTHER

Group 1: training model 1 - re-assessment model 1

Other: Skill training on different models

self-made model

OTHER

Group 2: training model 2 - re-assessment model 1

Other: Skill training on different models

Interventions

Skill training on different models OTHER

Skill training on different models (medium/high fidelity vs. self-made model)

medium/high fidelity model; self-made model

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Resident physicians at the Medical University of Vienna (Department of Anaesthesia, Intensive Care Medicine and Pain Medicine)
• Presence of written consent

You may not qualify if:

• Prior clinical experience in 'front of neck access' with more than five performed cricothyrotomies

Sponsors & Collaborators

• Medical University of Vienna: lead

Study Sites (1)

Medical University of Vienna

Vienna, 1090, Austria

Location

Related Publications (1)

• Stochlinski C, Maleczek M, Korn L, Gleiss A, Breckwoldt J, Roessler B. Skill retention of advanced airway techniques after simulation training - a randomized prospective study. BMC Med Educ. 2026 Jan 28. doi: 10.1186/s12909-026-08646-5. Online ahead of print.

  PMID: 41606573 DERIVED

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

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

Study Officials

• Bernhard Rössler, Prof.,MD,MIH

  Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: pseudonymized
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Group 1: training model 1 - re-assessment model 1 Group 2: training model 2 - re-assessment model 1

Study Record Dates

• First Submitted: November 5, 2024
• First Posted: November 13, 2024
• Study Start: December 2, 2024
• Primary Completion: March 30, 2025
• Study Completion: June 30, 2025
• Last Updated: September 23, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

AU (1)