Recruiting

Intubation Training

Sponsor:

Mount Sinai Hospital, Canada

Code:

NCT04027582

Conditions

Fiber-optic Intubation

Eligibility Criteria

Sex: All

Age: 16 - 70+

Healthy Volunteers: Not accepted

Interventions

didactic teaching and simulator practice

Study Details

Brief summary:

Thirty residents in Anesthesia, year one and year two ,and Emergency Medicine Residents, and Family Practice Anesthetists and Emergency residents will undergo teaching in fiber-optic intubation. One half of the group will be randomized to a low fidelity simulator which consists of a wooden block with a series of holes, and the other to a high fidelity simulator, called the ORSIM , which provides a computerised model of the airway. They will practice the procedural skill of fiber-optic intubation on their assigned simulators. Cumulative sum method (CUSUM) learning curves and procedural Entrusted Professional Activities will be obtained for each resident on their assigned simulator. Following this , all residents will undergo a procedural entrusted professional activity with regard to fiber-optic intubation on a low risk , consented patient. The results of the learning curves, Simulator entrusted professional activity and Patient entrusted professional activity will be compared to assess if there is a difference between the low fidelity and high fidelity simulator groups.

Conditions

Fiber-optic Intubation

Study ID

NCT04027582

Start date

Jul 19, 2019

Status verified date

Oct, 2019

Completion date

Dec, 2019

Anticipated

Primary completion date

Nov, 2019

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 16 - 70+

Healthy Volunteers: Not accepted

Inclusion Criteria:

Participants:

  • Anesthesia first and second year residents in the Competency-based Medical Education Anesthesia Residency program
  • They must have less than five prior experiences in fiber-optic intubation.

Patient inclusion criteria:

  • American Society of Anaesthesiologists classification one and two
  • Normal airway anatomy.

Exclusion Criteria:

Patient exclusion criteria:

  • Emergency surgery
  • Risk of aspiration
  • History of Malignant Hyperthermia
  • History of succinylcholine Apnea.
  • American Society of Anaesthesiologists grade greater than two
  • Abnormal airway anatomy
  • Morbid obesity
  • Difficult bag mask ventilation.

Study Design

Enrollment

30 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Other

Interventions and Outcome Measures

Arms

active comparator: Low Fidelity Simulator - Wooden block

This simulator consists of a simple series of wooden panels with holes. The resident learns how to manipulate the fiberoptic bronchoscope through the holes.

active comparator: High fidelity Simulator - ORSIM

The ORSIMĀ® bronchoscopy is a virtual reality simulator (Airway Simulation Limited, Auckland, New Zealand). It consists of hardware and software components that interact to create a high-fidelity virtual reality simulation. A replica fiberoptic scope is advanced by the resident through a desktop sensor, which is connected to a laptop computer. The laptop software program provides a virtual airway in which the user must navigate the probe.

Interventions

didactic teaching and simulator practice

the trainee will undergo didactic teaching on fiber-optic intubation followed by hands on practice on their assigned simulator

Primary outcome measure

  • Cumulative sum learning curve [ Time Frame: eight minutes ]

Central Contacts and Locations

Central contacts

Locations

Mount Sinai Hospital

Recruiting

Toronto, Ontario, Canada, M5G1X5

Contacts

More Information

Sponsor

Mount Sinai Hospital, Canada

Last update posted

Oct 28, 2019

Last verified

Oct, 2019

Keywords

  • ORSIM
  • Entrustable Professional Activity

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Mount Sinai Hospital, Canada on 2019-10-28.