Airway Obstruction Clinical Trial
Official title:
In Cricothyroidotomy Training for Physicians Does Simulated Practice With Tissue Specimens Produce Better Outcomes Than Using Synthetics Manikins?
This study will assess whether the type of simulation model used in cricothyroidotomy training has an effect on the subsequent confidence and competence in the procedure.
This is a Pilot study - prospective randomised controlled trial involving:
1. Assessment of ability to complete a surgical cricothyroidotomy
2. Completion of questionnaire prior to training and prior to assessment
Prior to beginning training, questionnaires will be completed by all participants asking
their level of previous training. Current confidence level for completion of
cricothyroidotomy will be marked on a visual analogue scale (VAS).
Training will then be completed with each group using the appropriate manikin type - porcine
or synthetic. This will consist of didactic information on the procedure delivered via
recorded information to standardise this initial training, and then proceeding to supervised
practice of the procedure for two occasions. This will be completed by the same trainer, with
the same information given to both groups. Questions to clarify how to perform the procedure
will be permitted.
The second questionnaire will be given to the trainees on completion of training to mark on a
visual analogue scale their confidence level at this point.
Assessment will then be completed later the day comprising of assessment of completion of
surgical cricothyroidotomy using a porcine manikin with skin overlying. This will be
different to the porcine manikin used for training. The assessment will time the trainees
from start to completion of airway insertion, as well as a checklist of activities to be
achieved. The porcine manikins will then be dissected to identify if correct location for
insertion was achieved and complications. The same amount of time will be given between
groups training and assessment.
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