Use of Alexa as a Cognitive Aid for Emergency Front Of Neck Access (FONA)

Not Applicable

• Conditions: Intubation; Difficult or Failed
• Interventions: Device: Use of Alexa Visual Cognitive aid

• Registration Number: NCT05635773
• Lead Sponsor: Guy's and St Thomas' NHS Foundation Trust

Brief Summary

The aim of the study is to investigate whether a voice activated cognitive aid can improve performance in a simulated emergency front-of-neck access scenario. This skill is ideally practiced on an annual basis by anaesthetists in training, with a variety of usually low-fidelity simulation used.

The addition of the Alexa cognitive aid is a novel step with the aim of improving adherence to the recommended steps required to successfully complete the procedure. One arm of this study will be introduced to the Alexa checklist in advance of performing the procedure prior to crossover, whereas the second arm will not (subject to standard anaesthetic training).

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-04
• Study First Submitted: 2022-04-19
• Study Start: 2022-06-30
• Study First Submitted QC: 2022-11-22
• Last Update Submitted: 2022-11-22
• Study First Posted: 2022-12-02
• Last Update Posted: 2022-12-02
• Primary Completion: 2023-02-01
• Study Completion: 2023-05-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• CT1 to Consultant level Anaesthetists, who have completed the Initial Assessment of Competencies (IAC)

Exclusion Criteria

• Anaesthetists without the above criteria, refusal

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
eFONA Alexa	Use of Alexa Visual Cognitive aid	Arm randomised to performing the procedure using Alexa cognitive aid first
eFONA No Alexa	Use of Alexa Visual Cognitive aid	Arm randomised to performing the procedure without Alexa cognitive aid first

Primary Outcome Measures

Name	Time	Method
The number of critical steps missed.	6 months	What critical steps were missed

Secondary Outcome Measures

Name	Time	Method
All critical steps completed	6 months	What critical steps were completed
Hypoxic time (interval between SpO2 first <94% to recover >=94% - explicitly timed gradual decrease in saturations)	6 months	What was the hypoxic time
A measure of participant workload (e.g. NASA-TLX) as perceived and completed by the participant after each arm.	6 months	Workload time versus perceived time per participant
A measure of team working (e.g. ANTS score) for each individual procedure	6 months	Actual measure per participant per procedure
A measure of participant's subjective experience (e.g. qualitative analysis of participant feedback on the device)	6 months	Feedback from each participant about the device

Trial Locations

Locations (1)

Guy's & St Thomas' NHS Trust; 🇬🇧 London, United Kingdom