Effect of Mentoring on Endotracheal Tube Exchange Using a New Device (FACETTE2)

Wake Forest University (WFU)

Status: Terminated

Conditions: Effects of Training

Treatments: Other: Expert mentoring; Other: Self-study

Study type: Interventional

Funder types: Other

Identifiers

NCT02763189

IRB00037896

Details and patient eligibility

About

The purpose of this pilot study is to compare the time it takes to change a breathing tube with a new device, performed by two different groups of anesthesiologists; one group will study on their own how to change the tube, while the second group will also receive expert training, before either group performs the procedure for the very first time. The Investigators predict the group who gets expert training will change the tube faster, and those investigators also need to learn how much faster, before moving to a larger study.

Full description

After informed consent is obtained, two groups of randomized anesthesiologists will receive detailed instructional materials including a brochure to introduce the new device, a videotape showing how the device is used, a detailed slide show explaining each of the steps, and a checklist of the steps to perform during the exchange (E) in simulation. The Mentored group (M) will also receive expert instruction just before the procedure, while the Control group (C) will have the same amount of time to review the steps themselves. Next, they will perform the first exchange procedure (E1) while the pair of experts observe and measure the simulated patients' apnea time. The experts will then conduct a debriefing with the M group, while the C group will debrief themselves before both groups perform the exchange a second time (E2). Both groups will then receive debriefing by the experts. The apnea times and a performance assessment will be compared between M and C to determine the effects of expert training, and will also be compared within each group from E1 to E2, to determine the effect of experience on apnea time and performance. Finally, surveys conducted after E1 and E2, and before debriefing, will determine the participants' satisfaction with the new device. Data on apnea times will be used for a statistical power analysis to determine the size of a larger group necessary to show significant differences in outcomes.

Enrollment: 8 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• physician airway management experts
• training in the skill of fiber-optic endoscopic intubation

Exclusion criteria

• non-physicians
• physicians without airway management expertise
• physicians without skill in fiber-optic endoscopic intubation

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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8 participants in 2 patient groups

Control

Active Comparator group

Description:

Control group will study the learning material independently. 'Self-study'.

Treatment:

Other: Self-study

Mentored

Experimental group

Description:

Mentored group will study the learning materials and then receive expert mentoring

Treatment:

Other: Expert mentoring

Other: Self-study