Education Clinical Trial
Official title:
The Impact of Airway Manikin Training on the Airtraq Avant and Wireless Monitor System Learning Curve in Airways With Predictors for Difficult Intubation
The overall purpose of this study is to assess the impact of preclinical airway manikin
training using the Airtraq Avant and Wireless Monitor System under simulated difficult
airway conditions (c-collar and swollen tongue) on the clinical learning curve of using the
device/system in airways with predictors for difficult intubation.
The investigators hypothesize that the clinical learning curve in airways with predictors
for difficult intubation will be shorter for study subjects (operators) who undergo
preclinical manikin training under simulated difficult airway conditions compared to Study
subjects (operators) who do not receive this training. The clinical learning curve is
characterized by procedure times and first attempt success rates on successive uses of the
Airtraq Avant and Wireless Monitor System in patients with at least one predictor for
difficult intubation.
Tracheal intubation (placement of a breathing tube below the vocal cords into the trachea)
is an essential skill for the anesthesia provider. Training on the use of new technology
(i.e., procedural training), including video/optical laryngoscopy (e.g., the Airtraq Avant,
Glidescope, and similar devices) usually occurs under the tutelage of learned practitioners,
while caring for actual patients in the operating room, not during didactic sessions in a
classroom. Although the use of airway trainers (manikins) has led to improved clinical
learning curves for the use of some airway devices, it is not known if training on the use
of the Airtraq Avant and Wireless Monitor System under simulated difficult airway conditions
(c-collar and swollen tongue) will improve the learning curve of using the device/system
clinically in in patients with at least one predictor of difficult intubation.
The specific aim of this study is to compare the clinical learning curve, characterized by
procedure times and first attempt success rates on successive uses, of using the Airtraq
Avant and Wireless Monitor System in patients with at least one predictor for diffcult
intubation between anesthesia providers who receive preclinical airway manikin training
under simulated difficult airway conditions (c-collar and swollen tongue) and those who do
not. The subjects of this study are anesthesia providers enrolled in the study.
Secondary specific aims include assessing the impact of preclinical airway manikin training
under simulated difficult airway conditions on glottic view grade, glottic view attainment
maneuvers, ease of Airtraq Avant insertion, ease of tracheal tube insertion, mechanisms of
tracheal tube insertion impediment, and perceived overall clinical usefulness in airways
with predictors of difficult intubation.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)
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