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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03663296
Other study ID # AURA
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date July 24, 2018
Est. completion date August 11, 2019

Study information

Verified date March 2020
Source National University Hospital, Singapore
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Flexible videoscope orotracheal intubation (FOI) technique is considered an important option in the management of predicted difficult airways. However, it is rarely performed in daily practice. Yet emergency physicians are expected to be able to perform this skill expertly during a crisis scenario. If it is not completed in a timely and proper fashion, the patient will deteriorate rapidly, resulting in morbidity or fatality.

There is a significant learning curve to master this complex psychomotor skill. Providing sufficient training in FOI, particularly hands-on experience in real patients is difficult. Patients with known difficult airway requiring FOI present infrequently to the emergency room. Using patients with normal airway purely for teaching of FOI is ethically controversial. To avoid technical and ethical concerns of training involving real patients, conventional teaching methods incorporate the use of a low-fidelity manikin in replacement. However, the manikin anatomy often lacks the realism of a live human.

The addition of virtual reality technology, in the form of a low-cost mobile application (Airway Ex) into the conventional simulation, may optimize learning by providing an ethical, cost-effective and more realistic modality to acquire the basic skills of FOI. If it is proven to be effective, efforts to integrate virtual reality technology into routine training of such procedures in the ED should be promoted.

We hypothesize that the addition of virtual reality mobile application to conventional training will improve procedural skill dexterity and proficiency and hence, improve learner's satisfaction and confidence in performing FOI.


Recruitment information / eligibility

Status Completed
Enrollment 45
Est. completion date August 11, 2019
Est. primary completion date August 11, 2018
Accepts healthy volunteers No
Gender All
Age group 21 Years and older
Eligibility Inclusion Criteria:

- All doctors from Accidental & Emergency Department of National University Hospital, Singapore

Exclusion Criteria:

- Refusal for consent

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Airway Ex App
30 minutes of self-directed learning and practice using the mobile application

Locations

Country Name City State
Singapore National University Hospital, Singapore Singapore

Sponsors (1)

Lead Sponsor Collaborator
National University Hospital, Singapore

Country where clinical trial is conducted

Singapore, 

Outcome

Type Measure Description Time frame Safety issue
Other Quality of flexible videoscope manipulation ability By blinded assessor using validated Five-point Global Rating Scale of Fiberoptic Bronchoscope Manipulation Ability. Score of 1 indicates very poor techniques whereas a score of 5 indicates clearly superior techniques. 5 minutes
Primary Time taken for successful intubation time from advancing scope from manikin's mouth to confirmed placement of endotracheal tube through visualisation with videoscope 5 minutes
Secondary Time taken for visualisation of vocal cords time from advancing scope from manikin's mouth to first visualisation of vocal cords with videoscope 1 minute
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