Comprehensive Observations and Multidisciplinary Approaches in the Management of Unconscious Patients
NCT06265168 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 50
Last updated 2024-12-02
Summary
This prospective observational high-fidelity simulation study aims to observe and better understand how physicians from different disciplines differentiate in the management of a comatose patient and how their diagnostic and treatment approaches adhere to current recommendations in a highly standardized simulated scenario. The results gained by this study will give more insight into the current quality of diagnostic procedures and treatment and help refine recommendations in this context. The investigators hypothesize that physicians do not strictly adhere (regarding diagnostic approach and treatment) to current guidelines/recommendations when confronted with a comatose patient.
Conditions
- Coma
Interventions
- OTHER
-
Simulation
Physicians will participate in a simulated scenario of an adult comatose patient. The intervention will be presented as a learning situation where the physician interacts with a high-fidelity mannequin. The mannequin simulating the patient will manifest a Glasgow Coma Score of 3 (improving over time to a GCS of 4) and a range of physiological and pathological symptoms. Physicians will have access to emergency equipment, including intubation equipment, a defibrillator, and medications. A trained nurse will be present to assist with the simulation. After 20 minutes the patient will regain consciousness in order to avoid a frustrating experience for the physicians. After simulation termination, a senior physician will join the resident and ask him to report the current scenario and will stop the simulation. The entire scenario will be video-recorded.
Sponsors & Collaborators
-
University Hospital, Basel, Switzerland
lead OTHER
Principal Investigators
-
Raoul Sutter, Prof. Dr. · University Hospital, Basel, Switzerland
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-03-01
- Primary Completion
- 2024-11-21
- Completion
- 2026-12-31
Countries
- Switzerland
Study Locations
More Related Trials
-
Epileptic Seizures in Intensive Care Units
NCT03860467 ·Status: COMPLETED
-
A Simulation-based Intervention for Caregivers of Children With Seizures
NCT01831063 ·Status: COMPLETED ·Phase: NA
-
Continuous Quantified EEG in NeuroIntensive Care
NCT02901262 ·Status: COMPLETED
-
Evaluation of EEG Power Spectrum in Patients With Traumatic Coma
NCT06321146 ·Status: NOT_YET_RECRUITING
-
Optimizing the Evaluation of Awareness in Disorders of Consciousness
NCT02628639 ·Status: UNKNOWN ·Phase: NA
-
Aiming for a Better Understanding and Improvement of the Diagnosis and Prognosis of Patients With Disorders of Consciousness Through Multimodal Observations
NCT04798456 ·Status: UNKNOWN
-
Improving Emergency Management of Status Epilepticus
NCT03883516 ·Status: COMPLETED ·Phase: NA
-
Comparison Between High-density Electroencephalography and Conventional Electroencephalography for Comatose Patients
NCT02588482 ·Status: TERMINATED ·Phase: NA
-
Study of Conscious Behavior Under Low-frequency Deep Brain Stimulation in Chronic and Severe Post-coma Disorders of Consciousness
NCT01718249 ·Status: COMPLETED ·Phase: NA
-
Measuring Comfort During Palliative Sedation
NCT03273244 ·Status: COMPLETED
-
Using EEG to Study Coma in the Neurocritical Care Unit
NCT01897194 ·Status: COMPLETED
-
Child Health Improvement Through Computer Automation - Child Neurology (CHICA-CN) Evaluation
NCT05173506 ·Status: COMPLETED
-
Early Cessation of Sedation and TTM in Patients With a Favourable EEG After Cardiac Arrest
NCT06048796 ·Status: RECRUITING ·Phase: NA
-
Prospective Electroencephalography Evaluation of Sedation in COVID-19
NCT04815109 ·Status: COMPLETED
-
Evaluation of Consciousness by Brain-computer Interface in Severely Brain Damaged Patients
NCT03998930 ·Status: COMPLETED ·Phase: NA
-
Development of a Point of Care System for Automated Coma Prognosis
NCT03826407 ·Status: UNKNOWN
-
Patient-reported Outcome and Patient-reported Experience After Status Epilepticus
NCT06100978 ·Status: RECRUITING
-
Alteration of Temporal Organization of EEG Microstate Sequences During Propofol-induced Loss of Consciousness
NCT02125214 ·Status: COMPLETED ·Phase: NA
-
Electroencephalogram (EEG) in General Anaesthesia - More Than Only a Bispectral Index (BIS)
NCT04105660 ·Status: COMPLETED ·Phase: NA
-
Fluctuation of Rhymicity to Predict Recovery
NCT04444648 ·Status: UNKNOWN
-
Use of Analgesic Treatment to Reduce Signs of Pain in Patients With Disorders of Consciousness.
NCT04330547 ·Status: COMPLETED ·Phase: PHASE1
-
EEG Phase Synchrony, Sedation and Delirium in the CVICU
NCT04005196 ·Status: UNKNOWN
-
A Study of IBRF Disorders of Consciousness Advanced Care/MultiModal Care Protocol in Severe Disorders of Consciousness
NCT02696512 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Studying the Effects of Brain Stimulation on Cognitive Control and Associated EEG in Human Subjects.
NCT05251454 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
ERPS, BIS and Entropy for Neuromonitoring in ICU Patients
NCT00639548 ·Status: COMPLETED