Clinical trial NCT03929315: 3D OLV Training Intervention for Pediatric Anesthesia Trainees
Official title: A Prospective Randomised Control Trial of Competency Metrics and Educational Interventions in the Learning of One Lung Ventilation Techniques in Children Using Low-cost 3D Printed Tracheo-bronchial Models Among Pediatric Anesthesia Trainees
Study type: OBSERVATIONAL
Overall status: WITHDRAWN
Conditions: Anesthesia
Keywords: one lung ventilation
Lead sponsor: The Hospital for Sick Children
Sponsor class: OTHER
First posted: 2019-04-26
Enrollment: 0
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: pediatric anesthesia trainees at the Hospital for Sick Children, Toronto

Brief summary: One lung ventilation (OLV) in neonates and children is an advanced skill that is necessary for delivery of safe and quality anesthetic care. The current model of training for OLV in the paediatric patient is composed of the apprenticeship model. Trainees learn the techniques of doing the procedure when they encounter a case that allows for it. The model of training is often inadequate for mastery of skills such as OLV as children in this population often have severe debilitating disease often requiring the most experienced anesthesiologist to perform OLV. This limits the training exposure of anesthesia trainees.

Detailed description: Each participant will be subjected to three learning sessions on a 6 year old tracheo-bronchial model. Learning will either be spaced (1 week between learning/testing sessions) or non-spaced (30 minutes between learning/testing sessions). They will have 20 minutes to practice on this model before they are asked to perform the OLV on a younger tracheo-bronchial model (2 yrs, 3 months, 6 weeks). After each testing session, the participants will be provided with feedback. After all learning/testing sessions take place, the participants will be asked to complete a retention test on the 6 week old model six weeks after their last session.

Eligibility criteria: Inclusion Criteria:

* Pediatric residents and fellows from the Hospital for Sick Children, Toronto

Exclusion Criteria:

* Refusal to participate in study
* Previous experience with at most two OLV in children
* Previous experience with at most two OLV in manikins

Primary outcomes:
measure: Time
timeFrame: Day 1, after each learning session
measure: Time
timeFrame: Week 6 or 9
Secondary outcomes:
measure: Attempts
timeFrame: Week 6 or 9
measure: Wrong entry
timeFrame: Week 6 or 9
measure: Red-outs
timeFrame: Week 6 or 9
measure: Wall collisions
timeFrame: Week 6 or 9
measure: Qualitative endoscopic assessment
timeFrame: Week 6 or 9
measure: Overall rating of performance
timeFrame: Week 6 or 9
measure: Satisfaction with task load
timeFrame: Day 1 or Weeks 1-3
measure: Satisfaction with usability
timeFrame: Day 1 or Weeks 1-3
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: The Hospital for Sick Children
state: Ontario
Study officials:
affiliation: Anesthesiologist-in-Cheif
name: Clyde Matava
role: PRINCIPAL_INVESTIGATOR
References: