Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents
Abstract Background Tracheal intubation (TI) is a key medical skill used by anesthesiologists and critical care physicians in airway management in operating rooms and critical care units. An objective assessment of dexterity in TI procedures would greatly enhance the quality of medical training. Thi...
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Medical Education |
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| Online Access: | http://link.springer.com/article/10.1186/s12909-018-1410-0 |
| _version_ | 1818111040444956672 |
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| author | Yousuke Sakakura Masataka Kamei Ryota Sakamoto Hideyuki Morii Asami Itoh-Masui Eiji Kawamoto Hiroshi Imai Masayuki Miyabe Motomu Shimaoka |
| author_facet | Yousuke Sakakura Masataka Kamei Ryota Sakamoto Hideyuki Morii Asami Itoh-Masui Eiji Kawamoto Hiroshi Imai Masayuki Miyabe Motomu Shimaoka |
| author_sort | Yousuke Sakakura |
| collection | DOAJ |
| description | Abstract Background Tracheal intubation (TI) is a key medical skill used by anesthesiologists and critical care physicians in airway management in operating rooms and critical care units. An objective assessment of dexterity in TI procedures would greatly enhance the quality of medical training. This study aims to investigate whether any biomechanical parameters obtained by 3D-motion analysis of body movements during TI procedures can objectively distinguish expert anesthesiologists from novice residents. Methods Thirteen expert anesthesiologists and thirteen residents attempted TI procedures on an airway mannequin using a Macintosh laryngoscope. Motion capturing technology was utilized to digitally record movements during TI procedures. The skill with which experts and novices measured biomechanical parameters of body motions were comparatively examined. Results The two groups showed similar outcomes (success rates and mean time needed to complete the TI procedures) as well as similar mean absolute velocity values in all 21 body parts examined. However, the experts exhibited significantly lower mean absolute acceleration values at the head and the left hand than the residents. In addition, the mean-absolute-jerk measurement revealed that the experts commanded potentially smoother motions at the head and the left hand. The Receiver Operating Characteristic (ROC) curves analysis demonstrated that mean-absolute-acceleration and -jerk measurements provide excellent measures for discriminating between experts and novices. Conclusions Biomechanical parameter measurements could be used as a means to objectively assess dexterity in TI procedures. Compared with novice residents, expert anesthesiologists possess a better ability to control their body movements during TI procedures, displaying smoother motions at the selected body parts. |
| first_indexed | 2024-12-11T02:56:43Z |
| format | Article |
| id | doaj.art-3d80e87ea81040ba99a9affbbab97fad |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-11T02:56:43Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-3d80e87ea81040ba99a9affbbab97fad2022-12-22T01:23:08ZengBMCBMC Medical Education1472-69202018-12-011811910.1186/s12909-018-1410-0Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residentsYousuke Sakakura0Masataka Kamei1Ryota Sakamoto2Hideyuki Morii3Asami Itoh-Masui4Eiji Kawamoto5Hiroshi Imai6Masayuki Miyabe7Motomu Shimaoka8Department of Clinical Anesthesiology, Mie University Graduate School of MedicineDepartment of Clinical Anesthesiology, Mie University Graduate School of MedicineCenter for Information Technology and Public Relations, Mie University HospitalDepartment of Mechanical Engineering, Mie University Graduate School of EngineeringDepartment of Emergency and Disaster Medicine, Mie University Graduate School of MedicineDepartment of Emergency and Disaster Medicine, Mie University Graduate School of MedicineDepartment of Emergency and Disaster Medicine, Mie University Graduate School of MedicineDepartment of Clinical Anesthesiology, Mie University Graduate School of MedicineDepartment of Molecular Pathobiology, Mie University Graduate School of MedicineAbstract Background Tracheal intubation (TI) is a key medical skill used by anesthesiologists and critical care physicians in airway management in operating rooms and critical care units. An objective assessment of dexterity in TI procedures would greatly enhance the quality of medical training. This study aims to investigate whether any biomechanical parameters obtained by 3D-motion analysis of body movements during TI procedures can objectively distinguish expert anesthesiologists from novice residents. Methods Thirteen expert anesthesiologists and thirteen residents attempted TI procedures on an airway mannequin using a Macintosh laryngoscope. Motion capturing technology was utilized to digitally record movements during TI procedures. The skill with which experts and novices measured biomechanical parameters of body motions were comparatively examined. Results The two groups showed similar outcomes (success rates and mean time needed to complete the TI procedures) as well as similar mean absolute velocity values in all 21 body parts examined. However, the experts exhibited significantly lower mean absolute acceleration values at the head and the left hand than the residents. In addition, the mean-absolute-jerk measurement revealed that the experts commanded potentially smoother motions at the head and the left hand. The Receiver Operating Characteristic (ROC) curves analysis demonstrated that mean-absolute-acceleration and -jerk measurements provide excellent measures for discriminating between experts and novices. Conclusions Biomechanical parameter measurements could be used as a means to objectively assess dexterity in TI procedures. Compared with novice residents, expert anesthesiologists possess a better ability to control their body movements during TI procedures, displaying smoother motions at the selected body parts.http://link.springer.com/article/10.1186/s12909-018-1410-0IntubationAssessmentTechnologyMotor skillsTask performance and analysisClinical skills |
| spellingShingle | Yousuke Sakakura Masataka Kamei Ryota Sakamoto Hideyuki Morii Asami Itoh-Masui Eiji Kawamoto Hiroshi Imai Masayuki Miyabe Motomu Shimaoka Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents BMC Medical Education Intubation Assessment Technology Motor skills Task performance and analysis Clinical skills |
| title | Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents |
| title_full | Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents |
| title_fullStr | Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents |
| title_full_unstemmed | Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents |
| title_short | Biomechanical profiles of tracheal intubation: a mannequin-based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents |
| title_sort | biomechanical profiles of tracheal intubation a mannequin based study to make an objective assessment of clinical skills by expert anesthesiologists and novice residents |
| topic | Intubation Assessment Technology Motor skills Task performance and analysis Clinical skills |
| url | http://link.springer.com/article/10.1186/s12909-018-1410-0 |
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