Fiberoptic-assisted intubation is an advanced skill that requires learners' practice as well as clinical experience during the anesthesiology residency training period. Current training methods including airway simulators and virtual reality software are used by medical schools worldwide. The objective of this study is to compare the learner's fiberoptic intubation performance between training with a 3D-printed simulator and a virtual reality software.
Fiberoptic-assisted intubation (FOI) is an essential skill of an anesthesiologist. It requires comprehensive knowledge of the airway anatomy and the proper and skillful use of a fiberoptic bronchoscope. Fiberoptic-assisted intubations are usually performed in emergency situations and during difficult airway patient encounters. These situations are not ideal for learners to properly practice the skill. The process of acquiring FOI skills includes teaching by experienced instructors, self-practice using commercially-available airway simulators, and practicing on virtual reality software. The airway simulators and virtual reality software have their advantages and disadvantages. In this randomized study, the investigators will compare the fiberoptic intubation skill among anesthesiology residents after self-training on a custom-made 3D simulator and self-training on a virtual reality software.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
27
Two self-directed training on a standard fiberoptic bronchoscope and a custom-made 3D airway simulator.
Two self-directed training on AirwayEx. With additional training as necessary.
Siriraj Hospital
Bangkok, Thailand
Global rating scale score for fiberoptic intubation performance (GRS scale)
The 5-point rating scale assessing multiple aspects of fiberoptic intubation performance. The assessment includes, on the scale of 1 (minimum score) to 5 (maximum score), the following; 1. Control 2. Progression 3. Orientation 4. Views and collision 5. Accuracy
Time frame: 1 week after self-directed practice session
Time to successful intubation
The duration measured from the passing of the fiberoptic bronchoscope through the nasal opening and the time of successful intubation (defined as the passing of the endotracheal tube into the trachea above the carina). The measured duration is reported as seconds.
Time frame: 1 week after self-directed practice session
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