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

NCT ID: NCT02622217

Last Updated: 2025-03-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-01-31
• Study Completion Date: 2016-01-31

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)

Conditions

Sleep Deprivation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: SINGLE

Study Groups

Sleep deprived

Participants undergo a simulation session after an on call night

Group Type: EXPERIMENTAL

Sleep deprivation

Intervention Type: BEHAVIORAL

Rested

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

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Sleep deprivation

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Anesthesiology residents from Paris academic hospitals

Exclusion Criteria

• Chronic sleep disorder

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Paris 5 - Rene Descartes

OTHER

Sponsor Role: lead

Responsible Party

Arthur Neuschwander

Dr

Responsibility Role: PRINCIPAL_INVESTIGATOR

References

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.

Reference Type: DERIVED

PMID: 28974071 (View on PubMed)

Other Identifiers

UParis5

Identifier Type: -

Identifier Source: org_study_id