Impact of Sleep Deprivation on Anesthesiology Residents' Non-technical Skills

Sleep Deprivation Clinical Trial

Official title:

Impact of Sleep Deprivation on Anesthesiology Residents' Non-technical Skills: a Simulation Based Randomised Study.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02622217
• Other study ID #: UParis5
• Status: Completed
• Phase: N/A
• First received: November 28, 2015
• Last updated: May 10, 2016
• Start date: January 2015
• Est. completion date: January 2016

Study information

• Verified date: May 2016
• Source: University of Paris 5 - Rene Descartes
• Contact: n/a
• Is FDA regulated: No
• Health authority: France: Committee for the Protection of Personnes
• Study type: Interventional

Clinical Trial Summary

Sleep deprivation is common in anaesthesiology residents. Its effects on technical skills have been reported with controversial results. Non-technical skills (team working, situation awareness, decision making and task management) contribute to safe and efficient task performance. They have a crucial role in anaesthetic practice, especially during crisis management. The investigators hypothesized that sleep deprivation was associated with a reduced mobilisation of non-technical skills in anaesthesiology residents.

Description:

The scenario consisted in a rapid sequence induction for emergency general anaesthesia in case of acute peritonitis complicated by an anaphylactic shock secondary to the injection of succinylcholine. All scenarios were performed with the assistance of an anaesthetist nurse, facilitator of the scenario. In a second time, after patient stabilisation (defined as oxygen saturation by pulse oximetry (SpO2) > 95%, mean arterial pressure (PAM) > 65 mmHg and heart rate (HR) < 100 bpm for at least 2 minutes) consecutive to an expected injection of 100 µg of epinephrine decided by the participant, a surgeon entered the operating room to create a dilemma regarding patient destination (continue surgery or intensive care unit admission)

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: January 2016
• Est. primary completion date: November 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Anesthesiology residents from Paris academic hospitals

Exclusion Criteria:

• Chronic sleep disorder

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Sleep Deprivation

Intervention

Behavioral:
• Sleep deprivation

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Paris 5 - Rene Descartes

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Anesthetists non technical skills (ANTS) scale	score assessed by 2 blinded evaluators during scenario	day 0 during procedure	No
Secondary	Technical skills	Check list of items, assessed by 2 blinded evaluators during scenario	day 0 during procedure	No