Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environments
Abstract Objective This study aimed to compare the heart rate response to stress during airway intubations in clinical practice and a simulated environment. Methods Twenty-five critical care registrars participated in the study over a 3-month period. Heart rate data during intubations was recorded b...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12873-023-00832-8 |
| _version_ | 1797806840387469312 |
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| author | Jackson Ji Bridget Langley Rachel Zordan Julian van Dijk Heidi Helene Graham Thies Anjalee Brahmbhatt Clarissa Torcasio Neil Cunningham |
| author_facet | Jackson Ji Bridget Langley Rachel Zordan Julian van Dijk Heidi Helene Graham Thies Anjalee Brahmbhatt Clarissa Torcasio Neil Cunningham |
| author_sort | Jackson Ji |
| collection | DOAJ |
| description | Abstract Objective This study aimed to compare the heart rate response to stress during airway intubations in clinical practice and a simulated environment. Methods Twenty-five critical care registrars participated in the study over a 3-month period. Heart rate data during intubations was recorded by a FitBit® Charge 2 worn by each participant during their clinical practice, and during a single simulated airway management scenario. The heart rate range was calculated by subtracting the baseline working heart rate (BWHR) from the maximum functional heart rate (MFHR). For each airway intubation performed participants recorded an airway diary entry. Data from intubations performed in the clinical environment was compared to data from a simulated environment. Heart rate changes were observed in two ways: percentage rise (median) across the 20-min intubation period and; percentage rise at point of intubation (median). Results Eighteen critical care registrars completed the study, mean age 31.8 years (SD = 2.015, 95% CI = 30.85–32.71). Throughout the 20-min peri-intubation recording period there was no significant difference in the median change in heart rates between the clinical (14.72%) and simulation (15.96%) environment (p = 0.149). At the point of intubation there was no significant difference in the median change in heart rate between the clinical (16.03%) and the simulation (25.65%) environment groups (p = 0.054). Conclusion In this small population of critical care trainees, a simulation scenario induced a comparable heart rate response to the clinical environment during intubation. This provides evidence that simulation scenarios are able to induce a comparable physiological stress response to the clinical environment and thus facilitates effective teaching of a high-risk procedure in a safe manner. |
| first_indexed | 2024-03-13T06:13:28Z |
| format | Article |
| id | doaj.art-4e883f929cc4427ca90cbb032a574458 |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-03-13T06:13:28Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-4e883f929cc4427ca90cbb032a5744582023-06-11T11:07:26ZengBMCBMC Emergency Medicine1471-227X2023-06-0123111010.1186/s12873-023-00832-8Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environmentsJackson Ji0Bridget Langley1Rachel Zordan2Julian van Dijk3Heidi Helene Graham Thies4Anjalee Brahmbhatt5Clarissa Torcasio6Neil Cunningham7Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, University of MelbourneDepartment of Anaesthesia and Acute Pain Medicine, St Vincent’s HospitalMelbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, University of MelbourneEducation and Learning, St Vincent’s Hospital MelbourneDepartment of Anaesthesia and Acute Pain Medicine, St Vincent’s HospitalMelbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, University of MelbourneEducation and Learning, St Vincent’s Hospital MelbourneMelbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, University of MelbourneAbstract Objective This study aimed to compare the heart rate response to stress during airway intubations in clinical practice and a simulated environment. Methods Twenty-five critical care registrars participated in the study over a 3-month period. Heart rate data during intubations was recorded by a FitBit® Charge 2 worn by each participant during their clinical practice, and during a single simulated airway management scenario. The heart rate range was calculated by subtracting the baseline working heart rate (BWHR) from the maximum functional heart rate (MFHR). For each airway intubation performed participants recorded an airway diary entry. Data from intubations performed in the clinical environment was compared to data from a simulated environment. Heart rate changes were observed in two ways: percentage rise (median) across the 20-min intubation period and; percentage rise at point of intubation (median). Results Eighteen critical care registrars completed the study, mean age 31.8 years (SD = 2.015, 95% CI = 30.85–32.71). Throughout the 20-min peri-intubation recording period there was no significant difference in the median change in heart rates between the clinical (14.72%) and simulation (15.96%) environment (p = 0.149). At the point of intubation there was no significant difference in the median change in heart rate between the clinical (16.03%) and the simulation (25.65%) environment groups (p = 0.054). Conclusion In this small population of critical care trainees, a simulation scenario induced a comparable heart rate response to the clinical environment during intubation. This provides evidence that simulation scenarios are able to induce a comparable physiological stress response to the clinical environment and thus facilitates effective teaching of a high-risk procedure in a safe manner.https://doi.org/10.1186/s12873-023-00832-8Medical simulationAirway intubationCritical care doctorsHeart rateStress response |
| spellingShingle | Jackson Ji Bridget Langley Rachel Zordan Julian van Dijk Heidi Helene Graham Thies Anjalee Brahmbhatt Clarissa Torcasio Neil Cunningham Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environments BMC Emergency Medicine Medical simulation Airway intubation Critical care doctors Heart rate Stress response |
| title | Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environments |
| title_full | Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environments |
| title_fullStr | Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environments |
| title_full_unstemmed | Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environments |
| title_short | Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environments |
| title_sort | heart rate responses in critical care trainees during airway intubation a comparison between the simulated and clinical environments |
| topic | Medical simulation Airway intubation Critical care doctors Heart rate Stress response |
| url | https://doi.org/10.1186/s12873-023-00832-8 |
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