Effect of Airway Video Library on Intubation in Novices
- Conditions
- Anesthesia Intubation ComplicationAnesthesia
- Interventions
- Behavioral: Airway Video Library TrainingBehavioral: Conventional Airway Training
- Registration Number
- NCT04956796
- Lead Sponsor
- University of Minnesota
- Brief Summary
Endotracheal intubation requires significant training and expertise. This experience can be quite stressful for novice users. To accelerate the learning curve of newly enrolled trainees to assess and secure airway, the investigators propose supplementing current training techniques with access to an airway video library consisting of real- life clinical videos of airway and endotracheal intubations.
- Detailed Description
Timely and correctly performed endotracheal intubation is important. It can be stressful especially among beginners and requires significant expertise. Studies suggest that endotracheal intubation success rates are below 50% for the first 10 intubations among novices and the learning curve of laryngoscopy does not plateau above a 90% success rate until a mean of 57 attempts. Although simulation, which is currently the mainstay of training for airway management help orient a novice user, it is siloed from the actual experience. Endotracheal intubation requires significant training and expertise. This experience can be quite stressful for novice users. To accelerate the learning curve of newly enrolled trainees to assess and secure airway, the investigators propose supplementing current training techniques with access to an airway video library consisting of real- life clinical videos of airway and endotracheal intubations.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 11
- Incoming anesthesia resident (CA-1 year)
- Participants with prior experience of more than 60 intubations
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Group A Conventional Airway Training At the beginning of Phase 1, participants from Group A will be exposed to the video airway library in addition to the conventional airway training. At the beginning of Phase 2, participants will continue with conventional airway training only. Each phase will last for 1 month. Group B Airway Video Library Training At the beginning of Phase 1, participants from Group B will be exposed to the conventional airway training only. At the beginning of Phase 2, the participants in Group B will be exposed to the video airway library. Each phase will last for 1 month. Group B Conventional Airway Training At the beginning of Phase 1, participants from Group B will be exposed to the conventional airway training only. At the beginning of Phase 2, the participants in Group B will be exposed to the video airway library. Each phase will last for 1 month. Group A Airway Video Library Training At the beginning of Phase 1, participants from Group A will be exposed to the video airway library in addition to the conventional airway training. At the beginning of Phase 2, participants will continue with conventional airway training only. Each phase will last for 1 month.
- Primary Outcome Measures
Name Time Method Number of Attempts to Successful Intubation 2 months Intubation success rate will be reported in number of attempts, where lower values equate to greater success. Supervising staff report success rates.
Time for Successful Intubation 2 months Time to successful intubation will be measured in seconds as reported by supervising staff.
Difficulty Level of Intubation as Assessed by Intubation Difficulty Scale 2 months The supervising staff fills out a questionnaire that assesses the technical skill of laryngoscopy and the complexity of intubation as per the Intubation Difficulty Scale (IDS). Those with and without exposure to the video library will be compared. The IDS is a sum of 7 parameters. The sum value of 0 indicates easy intubation, 1-5 indicates slight difficulty, and values greater than 5 indicate moderate to high difficulty.
- Secondary Outcome Measures
Name Time Method Stress Level as Assessed by Ottawa Mood Scales 2 months The participant fills in the Stress Scale item of the Ottawa Mood Scales with Likert scale response to reflect the stress they experienced surrounding endotracheal intubation. The scale ranges from 0 to 10, where higher scores indicate greater stress. Those with and without exposure to the video library will be compared.
Trial Locations
- Locations (1)
University of Minnesota
🇺🇸Minneapolis, Minnesota, United States