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

Study Overview
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Brief Summary
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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.

Detailed Description
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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)

Official Title
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Impact of Sleep Deprivation on Anesthesiology Residents' Non-technical Skills: a Simulation Based Randomised Study.

Conditions
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Sleep Deprivation

Intervention / Treatment
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* Behavioral: Sleep deprivation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Anesthesiology residents from Paris academic hospitals Exclusion Criteria: Chronic sleep disorder

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sleep deprived<br>Participants undergo a simulation session after an on call night | Behavioral: Sleep deprivation<br> <br> |
| No Intervention: Rested<br>Participants undergo a simulation session after a night of normal sleep at home | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Anesthetists non technical skills (ANTS) scale | score assessed by 2 blinded evaluators during scenario | day 0 during procedure | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Technical skills | Check list of items, assessed by 2 blinded evaluators during scenario | day 0 during procedure | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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anesthesiology, non technical kills