Use of Alexa as a Cognitive Aid for Emergency Front Of Neck Access (FONA) (FONA-A)

Guy's and St Thomas' NHS Foundation Trust

Status: Unknown

Conditions: Intubation; Difficult or Failed

Treatments: Device: Use of Alexa Visual Cognitive aid

Study type: Interventional

Funder types: Other

Identifiers

NCT05635773

IRAS 266480

Details and patient eligibility

About

The aim of the study is to investigate whether a voice activated cognitive aid can improve performance in a simulated emergency front-of-neck access scenario. This skill is ideally practiced on an annual basis by anaesthetists in training, with a variety of usually low-fidelity simulation used.

The addition of the Alexa cognitive aid is a novel step with the aim of improving adherence to the recommended steps required to successfully complete the procedure. One arm of this study will be introduced to the Alexa checklist in advance of performing the procedure prior to crossover, whereas the second arm will not (subject to standard anaesthetic training).

Enrollment: 34 estimated patients

Sex: All

Ages: 23+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• CT1 to Consultant level Anaesthetists, who have completed the Initial Assessment of Competencies (IAC)

Exclusion criteria

• Anaesthetists without the above criteria, refusal

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Triple Blind

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34 participants in 2 patient groups

eFONA No Alexa

Active Comparator group

Description:

Arm randomised to performing the procedure without Alexa cognitive aid first

Treatment:

Device: Use of Alexa Visual Cognitive aid

eFONA Alexa

Experimental group

Description:

Arm randomised to performing the procedure using Alexa cognitive aid first

Treatment:

Device: Use of Alexa Visual Cognitive aid