Clinical trial NCT05545163: Comparison of Simulated Standard Versus Modified Jaw Thrust I-gel Insertion Technique in Novice Anesthesiologists
Official title: Comparison of Simulated Standard Versus Modified Jaw Thrust I-gel Insertion Technique in Novice Anesthesiologists: A Randomised Control Crossover Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Training Group, Sensitivity
Igel
Keywords: I-gel
Technique
Standard
Modified
Simulation
Lead sponsor: Aga Khan University
Sponsor class: OTHER
First posted: 2022-09-19
Enrollment: 14
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Each novice resident will place ten times I-gel insertion with each insertion technique in randomized cross over manner by dividing the residents in two groups (5 residents in each group), by draw method. The one group will place I-gel with standard insertion technique and other group will place by modified jaw thrust I-gel insertion technique, then after, the groups will switch over with concerned insertion techniques
Primary purpose: PREVENTION

Brief summary: The primary objective of study was to compare insertion ease by modified I-gel jaw thrust insertion technique and standard I-gel insertion technique on the basis of I-gel insertion attempts and I-gel insertion time duration. The secondary objective of study was to analyse the impact of prior information for airway device, insertion techniques, general or specific work experience in airway management with the ease of both study's insertion techniques. And, tertiary objective of study was to analyse the trainee's preference insertion technique at the basis of learning method and practical adaptability.

Hypothesis:

The modified I-gel jaw thrust insertion technique is easy to understand and practice than the standard I-gel insertion technique at the beginning of airway management training among the novice anesthesiologists.

Detailed description: * I-gel insertion attempts are the number of I-gel insertion attempts with each study's insertion technique. The 10 insertion attempts allowed to performed with each insertion technique by trainees.
* I-gel insertion time duration was the time taken to complete I-gel insertion; from the holding of device till the confirmation of chest movement (artificial lung inflation in manikin).
* The correlation of previous information for airway device, insertion techniques, general or specific work experience in airway management with the ease of both study's insertion techniques were assessed by asking from participant's questionnaire based at the start of study.
* The trainees were asked at the end of study for preferred insertion method at novice level on the basis of learning method and practical conduct (user friendly).

Eligibility criteria: Inclusion Criteria:

* First year anaesthesia residents
* Using adult mannequin

Exclusion Criteria:

* Pediatric mannequin
* Participant's refusal

Primary outcomes:
measure: The ease of I-gel insertion was measured on the basis of number of I-gel insertion attempts.
timeFrame: 5 minutes
measure: The ease of I-gel insertion was measured on the basis of final I-gel insertion time taken duration.
timeFrame: 5 minutes
Secondary outcomes:
measure: The trainee's baseline knowledge was assessed for the type of supraglottic airway devices and I-gel insertion techniques.
timeFrame: 1 minute
measure: The trainee's baseline knowledge was assessed for the type I-gel insertion techniques.
timeFrame: 1 minute
measure: The trainee's baseline knowledge was assessed for the general or specific work experience in airway management using the I-gel.
timeFrame: 1 minute
measure: The trainee's baseline knowledge was assessed for the studied modified jaw thrust I-gel insertion technique.
timeFrame: 2 minutes
Other outcomes:
measure: The trainee's asked for the choice of I-gel insertion technique at the start of learning airway management using the I-gel at his level
timeFrame: 2 minutes
measure: The trainee's asked for the easy learning of I-gel insertion technique at his level of training.
timeFrame: 2 minutes
measure: The trainee's asked for the preference of I-gel insertion technique in his practice at his level of training.
timeFrame: 1 minute
Locations:
city: Karachi
country: Pakistan
facility: Aga Khan University Hospital
state: Sind
Study officials:
affiliation: Aga Khan University
name: dileep kumar, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Boet S, Borges BC, Naik VN, Siu LW, Riem N, Chandra D, Bould MD, Joo HS. Complex procedural skills are retained for a minimum of 1 yr after a single high-fidelity simulation training session. Br J Anaesth. 2011 Oct;107(4):533-9. doi: 10.1093/bja/aer160. Epub 2011 Jun 9.
citation: Kennedy CC, Cannon EK, Warner DO, Cook DA. Advanced airway management simulation training in medical education: a systematic review and meta-analysis. Crit Care Med. 2014 Jan;42(1):169-78. doi: 10.1097/CCM.0b013e31829a721f.
citation: Sun Y, Pan C, Li T, Gan TJ. Airway management education: simulation based training versus non-simulation based training-A systematic review and meta-analyses. BMC Anesthesiol. 2017 Feb 1;17(1):17. doi: 10.1186/s12871-017-0313-7.
citation: Lee DW, Kang MJ, Kim YH, Lee JH, Cho KW, Kim YW, Cho JH, Kim YS, Hong CK, Hwang SY. Performance of intubation with 4 different airway devices by unskilled rescuers: manikin study. Am J Emerg Med. 2015 May;33(5):691-6. doi: 10.1016/j.ajem.2015.03.006. Epub 2015 Mar 12.
citation: Jackson KM, Cook TM. Evaluation of four airway training manikins as patient simulators for the insertion of eight types of supraglottic airway devices. Anaesthesia. 2007 Apr;62(4):388-93. doi: 10.1111/j.1365-2044.2007.04983.x.
citation: Kumar D, Hayat M, Khan A. i-gel insertion with modified jaw thrust technique. Indian J Anaesth. 2015 Feb;59(2):132-3. doi: 10.4103/0019-5049.151383. No abstract available.
citation: Bhardwaj M, Singhal SK, Rashmi, Dahiya A. A prospective randomised trial to compare three insertion techniques for i-gel placement: Standard, reverse, and rotation. Indian J Anaesth. 2020 Jul;64(7):618-623. doi: 10.4103/ija.IJA_937_19. Epub 2020 Jul 1.