Place of the Video-laryngoscope in Learning Intubation by Simulation

Airway Management Clinical Trial

Official title:

Place of the Video-laryngoscope in Learning Intubation by Simulation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05859542
• Other study ID #: Sim intubation
• Status: Completed
• Start date: June 1, 2023
• Est. completion date: July 30, 2023

Study information

• Verified date: September 2023
• Source: Mongi Slim Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of the study was to determine the impact of the videolaryngoscope on reducing the time needed to intubate on a low-fidelity manikin for beginners.

The investigators conducted a randomised crossover study, which took place in the simulation department of the medical school of Tunis. They used a low-fidelity manikin designed for learning airway management. The first part of our session consisted in a theoretical training. The second part was the practical training with procedural simulation.

Description:

Simulation is nowadays a widespread teaching method, particularly in airway management. The direct laryngoscope is the most commonly used device for learning intubation. As for the videolaryngoscope, it is mostly used on an advanced level, for teaching difficult laryngoscopy to professionals. Its impact on teaching intubation to beginners remains unclear.

The aim of the study was to determine the impact of the videolaryngoscope on reducing the time needed to intubate on a low-fidelity manikin for beginners.

The investigators conducted a randomised crossover study, which took place in the simulation department of the medical school of Tunis. They used a low-fidelity manikin designed for learning airway management. They included 35 trainees.

The first part of our session consisted in a theoretical training, during which one single instructor exposed the anatomical basis and the material needed: a direct laryngoscope (Macintosh) with a number 3 curved blade, a videolaryngoscope (Med-Captain) with a number 3 curved blade and a number 7 tracheal tube with a stylet.

The second part was the practical training with procedural simulation. The investigators randomized the trainees in two groups.

Each trainee proceeded to three intubations with each device, in the specified order.

The investigators used the SPSS software for data analysis. The investigators considered a p-value < 0.05 as statistically significant.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 35
• Est. completion date: July 30, 2023
• Est. primary completion date: June 27, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 22 Years to 24 Years

Eligibility

Inclusion Criteria:

• fifth year's medical students.

• consentment of the participants

Exclusion Criteria:

• participants who had previously performed a tracheal intubation.

Related Conditions & MeSH terms

• Airway Management
• Intubation, Intratracheal
• Laryngoscopy
• Simulation

Intervention

Device:
• Videolaryngoscope first
started the session with 3 intubations using the videolaryngoscope
• Direct laryngoscope first
started the session with 3 intubations using the Direct laryngoscope

Locations

Country	Name	City	State
Tunisia	Mongi Slim hospital	Tunis

Sponsors (1)

Lead Sponsor	Collaborator
Mongi Slim Hospital

Country where clinical trial is conducted

Tunisia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	the time needed for the first intubation.	Time en seconds needed for the tube to pass through the vocal cords.	up to 2 minutes
Secondary	the Cormack-Lehane grade	Cormack and Lehane grades (1 to 4)	up to 2 minutes
Secondary	the satisfaction of the trainees.	The score of satisfaction	up to 24 hours