Remote Hands-on Training versus On-site Hands-on Training for Flexible Optical Intubation: A Noninferiority...

Area of Science:

• Medical Education
• Simulation Training
• Airway Management

Background:

• Flexible optical intubation (FOI) training is crucial but often limited by cost and accessibility.
• Remote, hands-on training models offer a potential solution for widespread FOI education.

Purpose of the Study:

• To evaluate the noninferiority of remote hands-on FOI training compared to traditional on-site training.
• To assess the feasibility and effectiveness of using shippable training models for FOI.

Main Methods:

• A noninferiority randomized controlled trial compared remote (online theory, supervised practice with shippable models) and on-site FOI training.
• 30 participants with limited FOI experience were randomized (1:1).
• Performance was assessed via video recording on patients, using Global Rating Scale (GRS) scores, checklist scores, success rates, and intubation time.

Main Results:

• No significant differences were found between remote and on-site groups in GRS scores (P=.146), checklist scores (P=.238), or intubation time (P=.780).
• Both groups achieved a 100% total success rate for FOI.
• Self-assessment and training satisfaction scores were also comparable between the two training modalities.

Conclusions:

• Remote hands-on FOI training using shippable models is noninferior to on-site training.
• This approach provides a viable and cost-effective alternative for flexible optical intubation education.
• The study supports the scalability of remote simulation-based medical training.