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Is there a benefit for anesthesiologists of adding difficult airway scenarios for learning fiberoptic intubation skills using virtual reality training? A randomized controlled study
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Fiorelli, Silvia, Cailleau, Loic, Geeraerts, Thomas, Minville, Vincent, Fourcade, Olivier, Fernandez, Thomas, Bazin, Jean Etienne, Baxter, Linden, Athanassoglou, Vassilis, Jefferson, Henry, Sud, Anika, Davies, Tim, Mendonca, Cyprian, Parotto, Matteo and Kurrek, Matt (2023) Is there a benefit for anesthesiologists of adding difficult airway scenarios for learning fiberoptic intubation skills using virtual reality training? A randomized controlled study. PLoS One, 18 (1). e0281016. doi:10.1371/journal.pone.0281016 ISSN 1932-6203.
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WRAP-Is-there-a-benefit-for-anesthesiologists-of-adding-difficult-airway-scenarios-for-learning-fiberoptic-intubation-skills-using-virtual-reality-training-2023.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (683Kb) | Preview |
Official URL: http://dx.doi.org/10.1371/journal.pone.0281016
Abstract
Fiberoptic intubation for a difficult airway requires significant experience. Traditionally only normal airways were available for high fidelity bronchoscopy simulators. It is not clear if training on difficult airways offers an advantage over training on normal airways. This study investigates the added value of difficult airway scenarios during virtual reality fiberoptic intubation training. A prospective multicentric randomized study was conducted 2019 to 2020, among 86 inexperienced anesthesia residents, fellows and staff. Two groups were compared: Group N (control, n = 43) first trained on a normal airway and Group D (n = 43) first trained on a normal, followed by three difficult airways. All were then tested by comparing their ORSIM® scores on 5 scenarios (1 normal and 4 difficult airways). The final evaluation ORSIM® score for the normal airway testing scenario was significantly higher for group N than group D: median score 76% (IQR 56.5–90) versus 58% (IQR 51.5–69, p = 0.0039), but there was no difference in ORSIM® scores for the difficult intubation testing scenarios. A single exposure to each of 3 different difficult airway scenarios did not lead to better fiberoptic intubation skills on previously unseen difficult airways, when compared to multiple exposures to a normal airway scenario. This finding may be due to the learning curve of approximately 5–10 exposures to a specific airway scenario required to reach proficiency.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RD Surgery | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Library of Congress Subject Headings (LCSH): | Airway (Medicine), Fiber optics, Trachea -- Intubation, Artificial respiration, Medical education -- Computer-assisted instruction, Virtual reality in medicine, Imaging systems in medicine -- Data processing | ||||||
Journal or Publication Title: | PLoS One | ||||||
Publisher: | Public Library of Science | ||||||
ISSN: | 1932-6203 | ||||||
Official Date: | 27 January 2023 | ||||||
Dates: |
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Volume: | 18 | ||||||
Number: | 1 | ||||||
Number of Pages: | 11 | ||||||
Article Number: | e0281016 | ||||||
DOI: | 10.1371/journal.pone.0281016 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 7 March 2023 | ||||||
Date of first compliant Open Access: | 8 March 2023 |
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