Intubation, Endotracheal
Conditions
Keywords
Fiberoptic bronchoscopy, intubation skill, deliberate practice
Brief summary
Fiberoptic-assisted intubation is an advanced skill that requires learners' practice as well as clinical experience during the anesthesiology residency training period. Current training methods including airway simulators and virtual reality software are used by medical schools worldwide. The objective of this study is to compare the learner's fiberoptic intubation performance between training with a 3D-printed simulator and a virtual reality software.
Detailed description
Fiberoptic-assisted intubation (FOI) is an essential skill of an anesthesiologist. It requires comprehensive knowledge of the airway anatomy and the proper and skillful use of a fiberoptic bronchoscope. Fiberoptic-assisted intubations are usually performed in emergency situations and during difficult airway patient encounters. These situations are not ideal for learners to properly practice the skill. The process of acquiring FOI skills includes teaching by experienced instructors, self-practice using commercially-available airway simulators, and practicing on virtual reality software. The airway simulators and virtual reality software have their advantages and disadvantages. In this randomized study, the investigators will compare the fiberoptic intubation skill among anesthesiology residents after self-training on a custom-made 3D simulator and self-training on a virtual reality software.
Interventions
OTHER3D-printed airway simulator
Two self-directed training on a standard fiberoptic bronchoscope and a custom-made 3D airway simulator.
OTHERvirtual reality software, AirwayEx
Two self-directed training on AirwayEx. With additional training as necessary.
Sponsors
Mahidol University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcomes assessors are blinded to each participant's group allocation. The assessors will be provided with video clips of the participants performing FOI. The identity and group allocation of each participant will not be revealed during the assessment.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Second-year anesthesiology resident
Exclusion criteria
* Refuse to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Global rating scale score for fiberoptic intubation performance (GRS scale) | 1 week after self-directed practice session | The 5-point rating scale assessing multiple aspects of fiberoptic intubation performance. The assessment includes, on the scale of 1 (minimum score) to 5 (maximum score), the following; 1. Control 2. Progression 3. Orientation 4. Views and collision 5. Accuracy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to successful intubation | 1 week after self-directed practice session | The duration measured from the passing of the fiberoptic bronchoscope through the nasal opening and the time of successful intubation (defined as the passing of the endotracheal tube into the trachea above the carina). The measured duration is reported as seconds. |
Countries
Thailand
Outcome results
None listed