Simulation-Based Team Training for Management of Local Anesthetic Systemic Toxicity (LAST) in Non-Anesthesiologist Surgical Residents
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Education.
- Who it may be relevant to
- Registry conditions: Education, Questionnaires. Basic parameters: 18 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Evaluation of the Effectiveness of a Local Anesthetic Systemic Toxicity (LAST) Knowledge Training Program for Non-Anesthesiologist Surgical Residents
Overview
This randomized controlled trial evaluates the effectiveness of a simulation-based multidisciplinary team training program on the management of Local Anesthetic Systemic Toxicity (LAST) among non-anesthesiologist surgical residents. Guided by Kirkpatrick's evaluation model, the study investigates improvements in knowledge, technical and non-technical skills, and the retention of these competencies one month after training
Detailed description
Local Anesthetic Systemic Toxicity (LAST) is a rare but potentially life-threatening complication of regional anesthesia. Advances in ultrasound-guided blocks have reduced its incidence, yet LAST remains a major concern due to severe cardiovascular and neurological risks. The American Society of Regional Anesthesia and Pain Medicine (ASRA) recommends early lipid emulsion therapy and emphasizes proper training. Simulation-based multidisciplinary training provides a dynamic and immersive experience, improving both technical and behavioral skills. This trial applies Kirkpatrick's four-level model (reaction, learning, behavior, results) to assess the training program. Primary endpoint: improvement in knowledge test scores. Secondary endpoints: OSCE performance, satisfaction, and key performance indicators related to simulated LAST management.
Interventions
- Behavioral Education
Local Anesthetic Systemic Toxicity (LAST); Simulation-based Education; Perioperative Training
Primary outcome measures
- Knowledge improvement (Learning outcome) [Time frame: Baseline (Day 0) to immediately post-training.]
Eligibility criteria
Inclusion criteria
- Surgical residents (General Surgery, Orthopedics, Obstetrics \& Gynecology, Dentistry) on active rotation at Selçuk University Faculty of Medicine.
- Voluntary participation with written informed consent.
- No prior comprehensive LAST training in the last 12 months.
Exclusion criteria
- Prior comprehensive LAST training or instructor experience in the last 12 months.
- Anesthesiology residents or specialists.
- Unable to complete follow-up due to rotation change or leave.
- Declining or withdrawing consent.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Other
Study locations
Turkey (Türkiye) · 1 center
- Selcuk Universitesi, School of Medicine, Anesthesiology — Konya
Identifiers
NCT: NCT07463274 · farukcicekci9