The Effect of Anesthesia Equipment Position on Anesthesiologists' Crisis Management and Bag-valve-mask Ventilation Using Full Scale Simulation.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 主要终点
- Crisis performance
研究概览
简要总结
The purpose of this study is to determine if the position of the anesthesia machine affects the ability of anesthesiologists to manage a crisis situation and perform critical tasks. Participants will be asked to manage a simulated crisis situation using a manikin in the operating room. The anesthesia machine will be positioned either in an "optimal" or "awkward" manner for the anesthesiologist. The session will be video recorded and then analysed for various outcomes that reflect the anesthesiologist's performance. Participants will also perform a critical task, bag-valve-mask ventilation, on a manikin with the anesthesia machine in the optimal and awkward positions. The effectiveness of ventilation in each position will be compared. The results of this study may have implications for patient safety.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All Department of Anesthesia residents (PGY4 or 5), fellows and staff are eligible to participate.
排除标准
- •Unwillingness to complete the simulated crisis and complete study questionnaires
研究组 & 干预措施
Preferred/optimal position group
Anesthesia machine is placed on the preferred side and optimal position for the anesthesiologist
干预措施: Simualted laryngospasm crisis (Behavioral)
Non-preferred/awkward position group
Anesthesia machine is placed on the non-preferred side and awkward position for the anesthesiologist
干预措施: Simualted laryngospasm crisis (Behavioral)
结局指标
主要结局
Crisis performance
时间窗: Measured during the crisis scenario, average time is 5 minutes
A composite performance score defined as the mean of standardized MEPA checklist score and standardized time to scenario completion.
次要结局
- Time metrics(Measured during the crisis scenario, average time is 5 minutes)
- Case management score(Measured during the crisis scenario, average time is 5 minutes)
- Ergonomic/motor metrics(Measured during the crisis scenario, average time is 5 minutes)
- Workload measurement metrics(Questionnaire is completed after the participation in the crisis scenario is completed. The questionnaire will take an average of 10 minutes to complete.)
- Minute ventilation(Measured during the crisis scenario, average time is 5 minutes)
研究者
Jason Hayes
Staff Anesthesiologist
The Hospital for Sick Children