Increase Residents' Confidence in Emergency Front of Neck Access (eFONA).
ConditionUnexpected Difficult Airway
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorKocaeli City Hospital
About this trial
Emergency front of neck access (eFONA) in a non-ventilated, non-oxygenated (CVCO) patient scenario is a life-saving and important competency for anesthesiologists to learn and even repeat intermittently. The Difficult Airway Society (DAS) guideline does not elaborate on how to conduct eFONA training, while the Canadian guideline states that successful performance of such rarely used skills requires regular practice in a simulation environment that focuses on technique and provides expert feedback. In this guideline, it was also mentioned that during training, procedures can be repeatedly performed in a simulate environment and interrupted for immediate feedback. In line with these recommendations, the investigators will create an easy, inexpensive, feasible and repeatable simulation-based learning environment in the operating room of the hospital. In this model study, it is aimed to teach the cricothyrotomy technique to anesthesiologists who have no experience in eFONA with an easy set up and to increase the confidence of the participants in this subject.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Working as an assistant doctor in Kocaeli City Hospital Anesthesiology and Reanimation Clinic
Disqualifiers
Those who have previously received training on FONA
Trial population
After obtaining participant consent, anesthesiology residents with no previous emergency FONA experience will be included in the study. Participants who do not give consent and have previous experience will be excluded from the study. Participants will be divided into groups according to their duration of anesthesiology residency: 1st year, 2nd year, 3rd year, 4th and 5th year residents.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Emergency front of neck access
Other interventionThe algorithm in the DAS manual will be explained. Following this, the researcher will demonstrate the scalpel spark plug technique with a 4-step approach that is frequently used in skill teaching. In step 1 of this approach, the technique will be demonstrated without any verbal explanation. In the 2nd step, the technique will be demonstrated with verbal expression. In the 3rd step, the participant will be asked to have the trainer do it. In the 4th and last step, the participant will apply eFONA from start to finish.
Treatment groups
40 Participants
are divided into 5 treatment groupsGroup A: 1st year residency1 intervention
Group B: 2nd year residency1 intervention
Group C: 3rd year residency1 intervention
Group D: 4th year residency1 intervention
Group E: 5th year residency1 intervention
Trial outcomes
Primary outcomes
1
Emergency front of neck access training practice on a model
In this model study, it was aimed to teach the cricothyrotomy technique to anesthesiologists who had no experience in Emergency front of neck access (eFONA) and to increase the confidence of the participants in this subject. The participants who participated in the research will be asked the question "If you need to create an emergency FONA procedure, how long would you open it?", the answers will be recorded and compared with the values after the research. Thus, it is aimed to increase the self-confidence of residents in eFONA.
Time frame
6 monthsLocations
Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: