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Using eye-tracking technology, the aim of this observational study is to compare the visual interests between attending physicians and residents watching a Cannot Intubate/Cannot Oxygenate (CICO) scripted and simulated scenario
Attending physicians and residents, from the department of Anesthesiology at the Université de Montréal were recruited on a voluntary basis. A 13-minute video based on a suggested CICO algorithm from the Difficult Airway Society to manage unanticipated difficult intubation in adults (3) was produced at the University of Montreal Simulation Centre using high-fidelity settings. The scenario was about a patient, with a cervical collar, in the post-anesthesia care unit. Throughout the video, the patient presents increasing respiratory distress worsening to respiratory failure. The anesthesiologist fails to ventilate, intubate and insert a laryngeal mask leading to a cricothyroidotomy. All participants were looking at a screen on which the scenario was broadcast. The screen was equipped with TobiiEyeX®, an eye-tracking system that automatically aggregates gaze data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Residents | Anesthesia residents from University of Montreal Anesthesia Department who were watching the video |
| |
| Attending Physicians | Attending physicians from University of Montreal Anesthesia Department who were watching the video |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video | Behavioral | A 13-minute video based on a suggested CICO algorithm from the Difficult Airway Society that was produced at the University of Montreal Simulation Centre using high-fidelity settings. |
| Measure | Description | Time Frame |
|---|---|---|
| Difference between Time to First Fixation and Total View Duration of areas of interests. | The screen was equipped with TobiiEyeX®, an eye-tracking system that automatically aggregates gaze data. The display was divided in seven Areas of Interest (AOI). Data were collected using the Tobii Studio® program to obtain the total view duration (TVD) of the various AOIs. | The primary endpoint is collected during 15 minutes, throughout the viewing of the video by the participant |
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Inclusion Criteria:
Exclusion Criteria:
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Residents and attending physicians from University of Montreal Anesthesia Department
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| Name | Affiliation | Role |
|---|---|---|
| Issam Tanoubi, Dr | Université de Montreal | Study Director |
| Komi Sodoke, Msc | Université de Montreal | Principal Investigator |
| Mathieu Tourangeau, Dr | Université de Montreal | Principal Investigator |
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| ID | Term |
|---|---|
| D014743 | Videotape Recording |
| ID | Term |
|---|---|
| D013637 | Tape Recording |
| D001296 | Audiovisual Aids |
| D018961 | Educational Technology |
| D013672 | Technology |
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| D013676 |
| Technology, Industry, and Agriculture |
| D013690 | Television |