Impact of Sleep Deprivation on Anesthesiology Residents' Non-technical Skills

Not Applicable

Completed

• Conditions: Sleep Deprivation
• Interventions: Behavioral: Sleep deprivation

• Registration Number: NCT02622217
• Lead Sponsor: University of Paris 5 - Rene Descartes

Brief Summary

Sleep deprivation is common in anaesthesiology residents. Its effects on technical skills have been reported with controversial results. Non-technical skills (team working, situation awareness, decision making and task management) contribute to safe and efficient task performance. They have a crucial role in anaesthetic practice, especially during crisis management. The investigators hypothesized that sleep deprivation was associated with a reduced mobilisation of non-technical skills in anaesthesiology residents.

Detailed Description

The scenario consisted in a rapid sequence induction for emergency general anaesthesia in case of acute peritonitis complicated by an anaphylactic shock secondary to the injection of succinylcholine. All scenarios were performed with the assistance of an anaesthetist nurse, facilitator of the scenario. In a second time, after patient stabilisation (defined as oxygen saturation by pulse oximetry (SpO2) \> 95%, mean arterial pressure (PAM) \> 65 mmHg and heart rate (HR) \< 100 bpm for at least 2 minutes) consecutive to an expected injection of 100 µg of epinephrine decided by the participant, a surgeon entered the operating room to create a dilemma regarding patient destination (continue surgery or intensive care unit admission)

Study Timeline

• Study Start: 2015-01
• Primary Completion: 2015-11
• Study First Submitted: 2015-11-28
• Study First Submitted QC: 2015-12-01
• Study First Posted: 2015-12-04
• Study Completion: 2016-01
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-24
• Last Update Posted: 2025-03-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Anesthesiology residents from Paris academic hospitals

Exclusion Criteria

• Chronic sleep disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Sleep deprived	Sleep deprivation	Participants undergo a simulation session after an on call night

Primary Outcome Measures

Name	Time	Method
Anesthetists non technical skills (ANTS) scale	day 0 during procedure	score assessed by 2 blinded evaluators during scenario

Secondary Outcome Measures

Name	Time	Method
Technical skills	day 0 during procedure	Check list of items, assessed by 2 blinded evaluators during scenario