Assessing Usefulness of Virtual Reality Mobile Application in Flexible Videoscope Airway Training

Education, Medical Clinical Trial

— AURA  

Official title:

Assessing Usefulness of Virtual Reality Mobile Application in Flexible Videoscope Airway Training - a Randomised Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03663296
• Other study ID #: AURA
• Status: Completed
• Phase: N/A
• 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
• 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

Related Conditions & MeSH terms

• Education, Medical

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