Stress and Resilience in Anesthesia Professionals

Study Overview
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Brief Summary
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The purpose of this study was to analyze the correlation between the resilience of anesthesia professionals and the stress measured during a simulation session.

Detailed Description
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This trial will be carried out at the simulation center of the training institute for health professionals of the CHU Grenoble Alpes. Volunteer anesthesia professionals and students will perform a scenario simulating a pediatric laryngospasm during a surgical incision. Each scenario will be performed by a medical and paramedical anesthesia pair and supervised by simulation trainers. Stress and resilience measures will be taken at various times during the study. Participants will be debriefed at the end of the simulation. The primary objective is to analyze the correlation between anesthesia professionals' resilience and measured stress.Secondary objectives are to study the association between: SDNN-measured stress and VAS-reported stress, age and SDNN-measured stress, CD RISC 10 resilience and PSS10-reported stress, CD RISC resilience and VAS-reported stress, the effect of experience on SDNN-measured stress, multiple correlation of the different secondary criteria. secondary criteria.

Official Title
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Stress and Resilience in Anesthesia Professionals

Conditions
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Stress, Professional, Resilience, Anaesthesiology, High Fidelity Simulation

Intervention / Treatment
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* Behavioral: SDNN measurement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - volunteer in anesthesia Exclusion Criteria: Rhythm disorders Endocrine pathology High blood pressure Pregnancy or breastfeeding in progress Taking anti-inflammatory or psychotropic drugs that interfere with the heart rate Interruption of professional practice in anesthesia > 2 years

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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Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: SDNN measurement|SDNN measurement during pediatric simulation|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Heart rate variability | Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants | during the laryngospasm (during 3 minutes at 6 minutes) | 
| Resilience | Measurement of resilience by Connor-Davidson Resilience Scale 10 (CD RISC 10 from 0 to 40) in participants. A high score indicates better resilience. | 5 days before scenario | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported stress | Stress level self reported by participants on visual analogical scale (VAS from 0 to 100); One end of the scale represents the maximum conceivable symptom strength (i. e., 100%), the other end no symptoms whatsoever (i. e., 0%). | 5 days before scenario | 
| Self-reported stress | Stress level self reported by participants on visual analogical scale (VAS from 0 to 100); One end of the scale represents the maximum conceivable symptom strength (i. e., 100%), the other end no symptoms whatsoever (i. e., 0%). | just Before the scenario (at 0 minute ) | 
| Self-reported stress | Stress level self reported by participants on visual analogical scale (VAS from 0 to 100); One end of the scale represents the maximum conceivable symptom strength (i. e., 100%), the other end no symptoms whatsoever (i. e., 0%). | just after briefing (at 3 minutes) | 
| Self-reported stress | Stress level self reported by participants on visual analogical scale (VAS from 0 to 100); One end of the scale represents the maximum conceivable symptom strength (i. e., 100%), the other end no symptoms whatsoever (i. e., 0%). | just after the end of scenario (at 9 minutes) | 
| Self-reported stress | Stress level self reported by participants on visual analogical scale (VAS from 0 to 100); One end of the scale represents the maximum conceivable symptom strength (i. e., 100%), the other end no symptoms whatsoever (i. e., 0%). | just after the debriefing (at 30 minutes) | 
| Perceived Stress Scale | The Perceived Stress Scale (PSS10 from 10 To 50) measures the degree to which respondents feel their lives are unpredictable, uncontrollable, and overloaded. A high score indicates more stress. | 5 days before scenario | 
| Age of anesthesia professionals | Age of anesthesia professionals: (quantitative variable) | 5 days before scenario | 
| Experience in anesthesia: | Experience in anesthesia: number of years since the beginning of specialized training training (quantitative variable) | 5 days before scenario | 
| Pediatric experience: | Pediatric experience: qualitative variable (yes, no) | 5 days before scenario | 
| Pediatric laryngospasm experience | Pediatric laryngospasm experience: qualitative variable: (yes, no) | 5 days before scenario | 
| Heart rate variability | Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants | 5 days before scenario (during 3 minutes) | 
| Heart rate variability | Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants | Before the scenario (during 3 minutes) | 
| Heart rate variability | Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants | during briefing (during 3 minutes at 0 minutes) | 
| Heart rate variability | Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants | during the scenario before the laryngospasm (during 3 minutes at 3 minutes) | 
| Heart rate variability | Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants | during the debriefing (3 minutes at 9 minutes) | 
| Heart rate variability | Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants | after the debriefing (3 minutes at 30 minutes) |