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

• Sponsor: University of Paris 5 - Rene Descartes (Other)
• Overall Status: Completed
• CT.gov ID: NCT02622217
• Collaborator: (none)
• Enrollment: 20
• Arms: 2
• Duration (Months): 12

Study Details

Study Description

Brief 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.

Condition or Disease	Intervention/Treatment	Phase
Sleep Deprivation	Behavioral: Sleep deprivation	N/A

Detailed 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)

Study Design

• Study Type: Interventional
• Actual Enrollment: 20 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Outcomes Assessor)
• Primary Purpose: Health Services Research
• Official Title: Impact of Sleep Deprivation on Anesthesiology Residents' Non-technical Skills: a Simulation Based Randomised Study.
• Study Start Date: Jan 1, 2015
• Actual Primary Completion Date: Nov 1, 2015
• Actual Study Completion Date: Jan 1, 2016

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Sleep deprived Participants undergo a simulation session after an on call night	Behavioral: Sleep deprivation
No Intervention: Rested Participants undergo a simulation session after a night of normal sleep at home

Outcome Measures

Primary Outcome Measures

1. Anesthetists non technical skills (ANTS) scale [day 0 during procedure]

   score assessed by 2 blinded evaluators during scenario

Secondary Outcome Measures

1. Technical skills [day 0 during procedure]

   Check list of items, assessed by 2 blinded evaluators during scenario

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Inclusion Criteria:

• Anesthesiology residents from Paris academic hospitals

Exclusion Criteria:

• Chronic sleep disorder

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

• University of Paris 5 - Rene Descartes

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Arthur Neuschwander, Dr, University of Paris 5 - Rene Descartes
• ClinicalTrials.gov Identifier: NCT02622217
• Other Study ID Numbers: UParis5
• First Posted: Dec 4, 2015
• Last Update Posted: May 11, 2016
• Last Verified: May 1, 2016

• Individual Participant Data (IPD) Sharing Statement: Undecided
• Plan to Share IPD: Undecided
• Keywords provided by Arthur Neuschwander, Dr, University of Paris 5 - Rene Descartes: anesthesiology; non technical kills
• Additional relevant MeSH terms: Sleep Deprivation

Study Results

No Results Posted as of May 11, 2016