Effect of Airway Video Library on Intubation in Novices

Anesthesia Clinical Trial

Official title:

Effect of Airway Video Library on Intubation in Novices

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04956796
• Other study ID #: STUDY00012340
• Status: Recruiting
• Start date: August 1, 2022
• Est. completion date: August 2024

Study information

• Verified date: March 2024
• Source: University of Minnesota
• Contact: Tjorvi Perry, MD, MMSc
• Phone: (612)-602-7900
• Email: perry655[@]umn.edu
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Endotracheal intubation requires significant training and expertise. This experience can be quite stressful for novice users. To accelerate the learning curve of newly enrolled trainees to assess and secure airway, the investigators propose supplementing current training techniques with access to an airway video library consisting of real- life clinical videos of airway and endotracheal intubations.

Description:

Timely and correctly performed endotracheal intubation is important. It can be stressful especially among beginners and requires significant expertise. Studies suggest that endotracheal intubation success rates are below 50% for the first 10 intubations among novices and the learning curve of laryngoscopy does not plateau above a 90% success rate until a mean of 57 attempts. Although simulation, which is currently the mainstay of training for airway management help orient a novice user, it is siloed from the actual experience. Endotracheal intubation requires significant training and expertise. This experience can be quite stressful for novice users. To accelerate the learning curve of newly enrolled trainees to assess and secure airway, the investigators propose supplementing current training techniques with access to an airway video library consisting of real- life clinical videos of airway and endotracheal intubations.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 11
• Est. completion date: August 2024
• Est. primary completion date: August 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Incoming anesthesia resident (CA-1 year)

Exclusion Criteria:

• Participants with prior experience of more than 60 intubations

Related Conditions & MeSH terms

• Anesthesia
• Anesthesia Intubation Complication

Intervention

Behavioral:
• Airway Video Library Training
A video airway library consisting of real-life clinical videos of laryngoscopy and endotracheal intubation was developed by the study investigators. This library consists of video clips of normal and easy airways, pediatric airways as well as pathological or difficult airways that is devoid of patient identifying data. The participants of the study group will be exposed to the video library by two learning sessions. Each learning session consists of 1 hour of interactive & immersive learning of 30 airway videos. At the end of the session, the participants will be oriented to the airway and identify key airway structures, learn to troubleshoot and navigate difficult anatomy, optimize visualization, and use accessory airway equipment.
• Conventional Airway Training
The endotracheal intubation training Anesthesiology students currently receive routinely as part of their education.

Locations

Country	Name	City	State
United States	University of Minnesota	Minneapolis	Minnesota

Sponsors (1)

Lead Sponsor	Collaborator
University of Minnesota

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Attempts to Successful Intubation	Intubation success rate will be reported in number of attempts, where lower values equate to greater success. Supervising staff report success rates.	2 months
Primary	Time for Successful Intubation	Time to successful intubation will be measured in seconds as reported by supervising staff.	2 months
Primary	Difficulty Level of Intubation as Assessed by Intubation Difficulty Scale	The supervising staff fills out a questionnaire that assesses the technical skill of laryngoscopy and the complexity of intubation as per the Intubation Difficulty Scale (IDS). Those with and without exposure to the video library will be compared. The IDS is a sum of 7 parameters. The sum value of 0 indicates easy intubation, 1-5 indicates slight difficulty, and values greater than 5 indicate moderate to high difficulty.	2 months
Secondary	Stress Level as Assessed by Ottawa Mood Scales	The participant fills in the Stress Scale item of the Ottawa Mood Scales with Likert scale response to reflect the stress they experienced surrounding endotracheal intubation. The scale ranges from 0 to 10, where higher scores indicate greater stress. Those with and without exposure to the video library will be compared.	2 months