Comparison of Simulated Standard Versus Modified Jaw Thrust I-gel Insertion Technique in Novice Anesthesiologists

Not Applicable

Completed

• Conditions: Training Group, Sensitivity; Igel
• Interventions: Device: I-gel with standard insertion technique

• Registration Number: NCT05545163
• Lead Sponsor: Aga Khan University

Brief Summary

The primary objective of study was to compare insertion ease by modified I-gel jaw thrust insertion technique and standard I-gel insertion technique on the basis of I-gel insertion attempts and I-gel insertion time duration. The secondary objective of study was to analyse the impact of prior information for airway device, insertion techniques, general or specific work experience in airway management with the ease of both study's insertion techniques. And, tertiary objective of study was to analyse the trainee's preference insertion technique at the basis of learning method and practical adaptability.

Hypothesis:

The modified I-gel jaw thrust insertion technique is easy to understand and practice than the standard I-gel insertion technique at the beginning of airway management training among the novice anesthesiologists.

Detailed Description

* I-gel insertion attempts are the number of I-gel insertion attempts with each study's insertion technique. The 10 insertion attempts allowed to performed with each insertion technique by trainees.

* I-gel insertion time duration was the time taken to complete I-gel insertion; from the holding of device till the confirmation of chest movement (artificial lung inflation in manikin).

* The correlation of previous information for airway device, insertion techniques, general or specific work experience in airway management with the ease of both study's insertion techniques were assessed by asking from participant's questionnaire based at the start of study.

* The trainees were asked at the end of study for preferred insertion method at novice level on the basis of learning method and practical conduct (user friendly).

Study Timeline

• Study Start: 2021-10-02
• Primary Completion: 2021-10-02
• Study Completion: 2021-10-02
• Status Verified: 2022-09
• Study First Submitted: 2022-09-13
• Study First Submitted QC: 2022-09-14
• Last Update Submitted: 2022-09-14
• Study First Posted: 2022-09-19
• Last Update Posted: 2022-09-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 14

Inclusion Criteria

• First year anaesthesia residents
• Using adult mannequin

Exclusion Criteria

• Pediatric mannequin
• Participant's refusal

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Modified jaw thrust I-gel insertion technique	I-gel with standard insertion technique	in this arm, trainees performed modified jaw thrust insertion technique

Primary Outcome Measures

Name	Time	Method
The ease of I-gel insertion was measured on the basis of number of I-gel insertion attempts.	5 minutes	Ease of I-gel insertion in mannequin mouth was measured by performing the 10 times insertion of I-gel with both study techniques in mannequin mouth by trainees.
The ease of I-gel insertion was measured on the basis of final I-gel insertion time taken duration.	5 minutes	The total time duration of final I-gel insertion confirmation in mannequin mouth was recorded. The time duration counting was started from I-gel holding in operator's hand to the confirmed successful insertion in mannequin mouth.

Secondary Outcome Measures

Name	Time	Method
The trainee's baseline knowledge was assessed for the studied modified jaw thrust I-gel insertion technique.	2 minutes	The questionnaire based trainee's asked for the previous experience for modified jaw thrust I-gel insertion technique.
The trainee's baseline knowledge was assessed for the general or specific work experience in airway management using the I-gel.	1 minute	The questionnaire based trainee's asked for previous experience in using the I-gel device.
The trainee's baseline knowledge was assessed for the type I-gel insertion techniques.	1 minute	The questionnaire based trainee's asked for the prior information for the type of I-gel insertion techniques.
The trainee's baseline knowledge was assessed for the type of supraglottic airway devices and I-gel insertion techniques.	1 minute	The questionnaire based trainee's asked for the prior information of the I-gel and other supraglottic airway device.

Trial Locations

Locations (1)

Aga Khan University Hospital; 🇵🇰 Karachi, Sind, Pakistan