Simulation-Based Team Training for Management of Local Anesthetic Systemic Toxicity (LAST) in Non-Anesthesiologist Surgical Residents

NCT07463274 | Enrolling By Invitation

• 1 other identifier: farukcicekci9
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial evaluates the effectiveness of a simulation-based multidisciplinary team training program on the management of Local Anesthetic Systemic Toxicity (LAST) among non-anesthesiologist surgical residents. Guided by Kirkpatrick's evaluation model, the study investigates improvements in knowledge, technical and non-technical skills, and the retention of these competencies one month after training

Conditions

Education; Questionnaires

Keywords

Local anesthetic; Questionnaires; Regional anesthesia; Team

Outcome Measures

Primary Outcomes (1)

• Knowledge improvement (Learning outcome)

  Local Anesthetic Systemic Toxicity (LAST) Knowledge Level and Awareness Test Change in 25-item multiple-choice test score (Δ = post-test - pre-test) Scoring: 0-25. It is accepted that as the score obtained for the test increases, the level of knowledge about the subject increases.

  Baseline (Day 0) to immediately post-training.

Study Arms (2)

Structured Training Group

EXPERIMENTAL

Experimental: Structured Training Group - Local Anesthetic Systemic Toxicity (LAST) pretest application, then Kirkpatrick-based program (2-3 hours; theoretical + simulation/OSCE). Includes theoretical (pathophysiology, risk factors, prevention, lipid therapy algorithm) and practical modules (simulation scenario, OSCE checklist, structured feedback). Local Anesthetic Systemic Toxicity (LAST) lasttest application It is assumed that a higher test score indicates a higher level of knowledge on the topic.

Behavioral: Education

Control

EXPERIMENTAL

Control: Standard Training Group (Wait-list Control) - Routine anesthesia training during standard rotation. Structured training provided after study completion.

Behavioral: Education

Interventions

Education BEHAVIORAL

Local Anesthetic Systemic Toxicity (LAST); Simulation-based Education; Perioperative Training

Control; Structured Training Group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Surgical residents (General Surgery, Orthopedics, Obstetrics \& Gynecology, Dentistry) on active rotation at Selçuk University Faculty of Medicine.
• Voluntary participation with written informed consent.
• No prior comprehensive LAST training in the last 12 months.

You may not qualify if:

• Prior comprehensive LAST training or instructor experience in the last 12 months.
• Anesthesiology residents or specialists.
• Unable to complete follow-up due to rotation change or leave.
• Declining or withdrawing consent.

Sponsors & Collaborators

• Selcuk University: lead

Study Sites (1)

Selcuk Universitesi, School of Medicine, Anesthesiology

Konya, 42250, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof Dr

Model Details: Randomized, Parallel Assignment, Prospective, Assessor-blinded

Study Record Dates

• First Submitted: September 22, 2025
• First Posted: March 11, 2026
• Study Start: September 15, 2025
• Primary Completion: February 28, 2026
• Study Completion: February 28, 2026
• Last Updated: March 11, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: 1 year

Locations

TU (1)