Clincosm LogoSign in Get a demo

Airway Management Skills Amongst Anesthesia Providers

Sponsor
Prisma Health-Upstate (Other)
Overall Status
Enrolling by invitation
CT.gov ID
NCT05055401
Collaborator
Vanderbilt University (Other)
30
Enrollment
1
Location
10.3
Anticipated Duration (Months)
2.9
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The aim of this study is to evaluate the efficiency and proficiency of three common airway management techniques amongst among anesthesia providers who maintain airway management privileges in our health system.

Condition or Disease Intervention/Treatment Phase
  • Procedure: Direct Laryngoscopy
  • Procedure: Laryngeal Mask Airways
  • Procedure: Video Laryngoscopy

Detailed Description

Airway management may take place in a variety of settings with varying degrees of urgency, ranging from performance for elective operative procedures to life-threatening emergencies. An appropriate psychomotor skill set is needed to perform the procedures utilized for airway management, and the time required to do so may impact patient outcomes. Prolonged periods of apnea and accompanying hypoxia can lead to brain damage or death. This research is designed to evaluate the proficiency of anesthesia providers who are responsible for practicing airway management in hospitals or health systems in the United States, including Anesthesiologists, Certified Registered Nurse Anesthetists, and Anesthesiology Assistants. We are attempting to establish a baseline level of proficiency by quantifying the time it takes to achieve successful airway management and the number of attempts required to do so utilizing a high fidelity manikin programmed to simulate various physiological conditions. This baseline information could then be used to manage the decisions made by hospitals or health systems related to airway management in the future, or to redefine the policies and procedures established for performing these procedures.

Study Design

Study Type:
Observational
Anticipated Enrollment :
30 participants
Observational Model:
Case-Crossover
Time Perspective:
Cross-Sectional
Official Title:
The Proficiency and Efficiency of Airway Management Skills Amongst Anesthesia Providers: A Multicenter Baseline Assessment
Actual Study Start Date :
Oct 22, 2021
Anticipated Primary Completion Date :
Sep 1, 2022
Anticipated Study Completion Date :
Sep 1, 2022

Arms and Interventions

Arm Intervention/Treatment
Anesthesiology providers

Group will contain anesthesiologists, CRNA and AAs. The type of healthcare professional participating will be recorded along with the years of experience the participant has. Each participants experience will be categorized into three ranges, 0-3 years, 3-10 years, and 10+ years of experience. For further clarification and analysis, the healthcare professional's normal practice setting will also be recorded including inpatient, outpatient, or hybrid (inpatient and outpatient) settings. All providers will be analyzed together.

Procedure: Direct Laryngoscopy
The participant will perform a direct laryngoscopy on a Laerdal SimMan 3G under healthy conditions and under limited cervical range of motion.

Procedure: Laryngeal Mask Airways
The participant will perform LMA placement on a Laerdal SimMan 3G under healthy conditions and under full tongue edema.

Procedure: Video Laryngoscopy
The participant will perform video laryngoscopy on a Laerdal SimMan 3G under healthy conditions and under half tongue edema with pharyngeal obstruction.

Outcome Measures

Primary Outcome Measures

  1. Number of Attempts to Achieve Successful Airway Management [Immediate Post-Procedure]

    A successful attempt for any of the three procedures will be documented when a participant attaches a bag/valve and attempts a ventilation resulting in the presence of end-tidal carbon dioxide (which will be displayed when the device is properly placed). Failed attempts for any of the three procedures will be documented when a participant attaches a bag/valve device and attempts ventilation for purposes of confirming the presence of end-tidal carbon dioxide (which will not be displayed if the device is improperly placed). Three sequential failed attempts will result in a failure to achieve successful airway management.

  2. Time Required to Achieve Successful Airway Management [Immediate Post-Procedure]

    Time will be measured manually via stopwatch. Time measurement for all three procedures will begin when the participant picks up the laryngoscope, video laryngoscope, or LMA having signaled his/her intention to begin the procedure. Time measurement will end upon detection of end-tidal carbon dioxide by the mannikin as evidenced on a standard patient monitor connected to the mannikin for this purpose. Time measurement will continue during failed attempts and subsequent efforts to successfully perform the procedure. Time measurement will be stopped upon successful end-tidal carbon dioxide measurement, three sequential failed attempts to perform a procedure, or after a total of five minutes have passed.

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:

  • Informed consent is obtained from the participant

  • Participants are presently employed as an anesthesiologist (previously completed an anesthesiology residency), CRNA or AA at a participating institution

  • Participants have active airway management privileges with their institution

Exclusion Criteria:

  • Participants are not employed by their institution

  • Refusal of the participant to sign a consent

Contacts and Locations

Locations

Site City State Country Postal Code
1 Prisma Health Greenville South Carolina United States 29605

Sponsors and Collaborators

  • Prisma Health-Upstate
  • Vanderbilt University

Investigators

  • Principal Investigator: Robert R. Morgan, MD, Prisma Health-Upstate

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
Prisma Health-Upstate
ClinicalTrials.gov Identifier:
NCT05055401
Other Study ID Numbers:
  • Pro00104249
First Posted:
Sep 24, 2021
Last Update Posted:
Apr 19, 2022
Last Verified:
Apr 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Prisma Health-Upstate
Airway Management
Intubation
High Fidelity Mannikin
Anesthesia Providers

Study Results

No Results Posted as of Apr 19, 2022