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Impact of Sleep Deprivation on Anesthesiology Residents' Non-technical Skills

U

University of Paris 5 - Rene Descartes

Status

Completed

Conditions

Sleep Deprivation

Treatments

Behavioral: Sleep deprivation

Study type

Interventional

Funder types

Other

Identifiers

NCT02622217
UParis5

Details and patient eligibility

About

Sleep deprivation is common in anaesthesiology residents. Its effects on technical skills have been reported with controversial results. Non-technical skills (team working, situation awareness, decision making and task management) contribute to safe and efficient task performance. They have a crucial role in anaesthetic practice, especially during crisis management. The investigators hypothesized that sleep deprivation was associated with a reduced mobilisation of non-technical skills in anaesthesiology residents.

Full description

The scenario consisted in a rapid sequence induction for emergency general anaesthesia in case of acute peritonitis complicated by an anaphylactic shock secondary to the injection of succinylcholine. All scenarios were performed with the assistance of an anaesthetist nurse, facilitator of the scenario. In a second time, after patient stabilisation (defined as oxygen saturation by pulse oximetry (SpO2) > 95%, mean arterial pressure (PAM) > 65 mmHg and heart rate (HR) < 100 bpm for at least 2 minutes) consecutive to an expected injection of 100 µg of epinephrine decided by the participant, a surgeon entered the operating room to create a dilemma regarding patient destination (continue surgery or intensive care unit admission)

Enrollment

20 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Anesthesiology residents from Paris academic hospitals

Exclusion criteria

  • Chronic sleep disorder

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

20 participants in 2 patient groups

Sleep deprived
Experimental group
Description:
Participants undergo a simulation session after an on call night
Treatment:
Behavioral: Sleep deprivation
Rested
No Intervention group
Description:
Participants undergo a simulation session after a night of normal sleep at home

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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