Effect of Fatigue on Regional Anaesthesia Task

NCT ID: NCT04711499

Last Updated: 2021-01-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-01

Study Completion Date

2021-06-01

Brief Summary

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The adverse effects of sleep related fatigue are significant, impacting on doctors' health, wellbeing, performance and ultimately their safety and that of their patients'.

Trainees are at an increased risk of fatigue because they routinely, and are increasingly, working long hours, and exposed to excessive and high intensity workloads. With increasing numbers of patient consultations, there is a higher risk of making poorer quality clinical decisions (i.e. decision fatigue). The excessive workloads experienced by doctors can cause fatigue through the requirement for sustained attention over long periods of time, particularly when performing complex and mentally demanding tasks. Our main objective is to study the difference between the fatigued and non-fatigued state of anaesthetists and on their ability to perform an ultrasound-guided peripheral nerve blockade task. We hypothesise that fatigue will result in a clinically significant reduction in the objective structured assessment scores of anaesthetists who are performing an ultrasound-guided peripheral nerve blockade task compared to their scores when they are non-fatigued.

Detailed Description

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Conditions

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Fatigue Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

SCREENING

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Fatigue Group

The trial will recruit trainee anaesthetists of ST3 grade or higher who take part in a resident night-shift rota at Nottingham University Hospitals NHS Trust. Participants will undergo baseline psychometric testing to measure baseline mood. There will be a series of questions to ascertain levels of fatigue. All participants will then be asked to perform a standardised ultrasound-guided peripheral nerve blockade task using a high fidelity bench-top phantom model. Performance in this task will be independently assessed using a previously-validated scoring tool by two raters blinded to participant group allocation.

Group Type EXPERIMENTAL

Fatigue

Intervention Type BEHAVIORAL

The intervention will be assessing the participant in a fatigued state compared to a non fatigued state

Non Fatigued group

The non fatigued group will be asked to perform the same series of questions and tasks after a night at home with no work duties or commitments

Group Type ACTIVE_COMPARATOR

Fatigue

Intervention Type BEHAVIORAL

The intervention will be assessing the participant in a fatigued state compared to a non fatigued state

Interventions

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Fatigue

The intervention will be assessing the participant in a fatigued state compared to a non fatigued state

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1\. Anaesthetists of ST3 grade and above with previous experience of performing an ultrasound guided peripheral nerve block.

Exclusion Criteria

1. Previous experience of gaze control training or eye-tracking software applied to medical interventions.
2. No previous experience of performing an ultrasound guided peripheral nerve block.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nottingham University Hospitals NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Hewson, MBBS

Role: PRINCIPAL_INVESTIGATOR

University Hospitals of Nottingham

Central Contacts

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David W Hewson, MBBS

Role: CONTACT

01159249924 ext. 61195

Farhaan Moosa, MBCHB

Role: CONTACT

01159249924 ext. 61195

Other Identifiers

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20AN007

Identifier Type: -

Identifier Source: org_study_id

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