Achieving Competency in Fiber-Optic Intubation Among Resident Physicians After Higher- Versus Lower-Fidelity Task Training: A Randomized Controlled Study
Authors' conclusion
ORSIM showed superiority in terms of the CUSUM learning curve in reaching competence faster in fewer attempts. There was no statistically significant difference in residents' performance when translated to clinical practice on a patient.
Study context
- Population
- Residents with experience of <8 fiber-optic intubations
- Participants
- 24 residents
- Comparison
- ORSIM vs wooden-block fiber-optic task trainer
- Primary endpoint
- Cumulative sum (CUSUM) learning curves during training on the task trainers
Methodological detailssingle-centre
- Single-centre
Primary result
As reported in the abstract
CUSUM learning curves
- ORSIM achieved simulator competence faster
Secondary outcomes
Total simulator training time · significantly better in the ORSIM group
(95% CI 100.46–818.54) · P = 0.01
Mean time to perform each fiber-optic intubation on the task trainer
- Shorter in the ORSIM group; combined effect of group and time statistically significant (2-way analysis of variance (ANOVA))
- P < 0.05
Global rating scale, checklist score and time to carina on the patient · within 4 months after training
- No significant difference between the 2 groups
- P > 0.05
Original publication
Achieving Competency in Fiber-Optic Intubation Among Resident Physicians After Higher- Versus Lower-Fidelity Task Training: A Randomized Controlled Study. Anesth Analg. Published 29 November 2022. doi:10.
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