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

Primary Purpose

Sleep Deprivation

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Sleep deprivation
Sponsored by
University of Paris 5 - Rene Descartes
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Sleep Deprivation focused on measuring anesthesiology, non technical kills

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Anesthesiology residents from Paris academic hospitals

Exclusion Criteria:

  • Chronic sleep disorder

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    No Intervention

    Arm Label

    Sleep deprived

    Rested

    Arm Description

    Participants undergo a simulation session after an on call night

    Participants undergo a simulation session after a night of normal sleep at home

    Outcomes

    Primary Outcome Measures

    Anesthetists non technical skills (ANTS) scale
    score assessed by 2 blinded evaluators during scenario

    Secondary Outcome Measures

    Technical skills
    Check list of items, assessed by 2 blinded evaluators during scenario

    Full Information

    First Posted
    November 28, 2015
    Last Updated
    May 10, 2016
    Sponsor
    University of Paris 5 - Rene Descartes
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02622217
    Brief Title
    Impact of Sleep Deprivation on Anesthesiology Residents' Non-technical Skills
    Official Title
    Impact of Sleep Deprivation on Anesthesiology Residents' Non-technical Skills: a Simulation Based Randomised Study.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2015 (undefined)
    Primary Completion Date
    November 2015 (Actual)
    Study Completion Date
    January 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    University of Paris 5 - Rene Descartes

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    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.
    Detailed 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)

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Sleep Deprivation
    Keywords
    anesthesiology, non technical kills

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Outcomes Assessor
    Allocation
    Randomized
    Enrollment
    20 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Sleep deprived
    Arm Type
    Experimental
    Arm Description
    Participants undergo a simulation session after an on call night
    Arm Title
    Rested
    Arm Type
    No Intervention
    Arm Description
    Participants undergo a simulation session after a night of normal sleep at home
    Intervention Type
    Behavioral
    Intervention Name(s)
    Sleep deprivation
    Primary Outcome Measure Information:
    Title
    Anesthetists non technical skills (ANTS) scale
    Description
    score assessed by 2 blinded evaluators during scenario
    Time Frame
    day 0 during procedure
    Secondary Outcome Measure Information:
    Title
    Technical skills
    Description
    Check list of items, assessed by 2 blinded evaluators during scenario
    Time Frame
    day 0 during procedure

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Anesthesiology residents from Paris academic hospitals Exclusion Criteria: Chronic sleep disorder

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided
    Citations:
    PubMed Identifier
    28974071
    Citation
    Neuschwander A, Job A, Younes A, Mignon A, Delgoulet C, Cabon P, Mantz J, Tesniere A. Impact of sleep deprivation on anaesthesia residents' non-technical skills: a pilot simulation-based prospective randomized trial. Br J Anaesth. 2017 Jul 1;119(1):125-131. doi: 10.1093/bja/aex155.
    Results Reference
    derived

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

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