Clinical trial NCT05619081: Recovery Napping Protocol for Anesthesiologist Performance
Official title: Recovery Napping Protocol for Anesthesiologist Performance
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sleep Deprivation
Critical Incident
Sleep
Anesthesia
Keywords: Power-napping
High Fidelity Simulation
Night Shift
Clinical Performance
Lead sponsor: Claude Bernard University
Sponsor class: OTHER
First posted: 2022-11-16
Enrollment: 52
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomised Control Trial (RCT)
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Sleep deprivation impacts performance of shift workers in health care. Anesthesiologists are a population at risk that endures stressful situations and changing working hours. The decreased performance could be the cause for undesirable events. Power-napping is known to be an efficient technique to mitigate the detrimental effects of sleep deprivation and is a feasible measure to implement in critical care units. Still there are few insights that measure the clinical relevance in the field. With the high-fidelity simulations this study is able to measure clinical performance and test for those effects. Therefore we propose a prospective, monocentric study to evaluate a power-napping protocol (less than 30min)

Detailed description: Residents in anesthesiology will be recruited on voluntary basis. They will pass the high fidelity simulation twice, once as a baseline measure under normal conditions after a typical night at home and once sleep deprived after a night shift.

BASELINE Participants will wear actigraphy bracelets to define their sleep pattern for 2 weeks, Then they will spent a normal night at home before coming to the performance center in the afternoon (13h to18h). There they will respond to questions about stress and sleep, will be equipped with smart shirts (HEXOSKIN) to measure their level of stress during the performance, and then undertake a crisis simulation. Afterwards they pass some standardized cognitive tests.

TRAINING The whole year group of residents will be trained to understand sleep management and learn power napping. After the workshop they will individually be trained during 2 weeks including some follow up calls.

INTERVENTION The participants carry again actigraphy bracelets. Then they work a night shift in their service where they usually sleep less than four hours. The morning after the shift participants are free to spend how the like while sleep is being controlled with actigraphy bracelets. In the afternoon (13 to 18h) they return for the second time to the performance center. They are randomly assigned to a napping or non napping group and equipped with ambulatory ECG (Hexoskin) as well es ambulatory EEG (Somfit). After the intervention period (nap or leisure time) they proceed with the same performance measures as at baseline including a simulation crisis and computerized cognitive tests.

Eligibility criteria: Inclusion Criteria:

* Second to Fifth year of residency
* Completing night shifts at anesthesia/reanimation unit

Exclusion Criteria:

* No Consent

Primary outcomes:
measure: Score of technical clinical performance via rating grids
timeFrame: 2 days
measure: Score of Non-Technical clinical performance via Ottawa Crisis Resource Management Scale
timeFrame: 2 days
Secondary outcomes:
measure: Heart Rate as physiological stress measure
timeFrame: 2 days
measure: Visual analogue scale for the evaluation of psychological stress
timeFrame: 2 days
measure: Reaction time in Alertness task
timeFrame: 2 days
measure: Sleepiness Score
timeFrame: 2 days
measure: Pain Empathy Accuracy
timeFrame: 2 days
measure: Pain Empathy D prime
timeFrame: 2 days
Other outcomes:
Locations:
city: Lyon
country: France
facility: Claude Bernard University
Study officials:
affiliation: jean-jacques.lehot2@univ-lyon1.fr
name: Jean-Jacques Lehot, PhD
role: STUDY_CHAIR
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