Akanuma Y, Sakuma M, Abe S
Cureus 17(8): e89716. doi:10.7759/cureus.89716
This pilot study evaluated the reliability and validity of a newly developed tracheal intubation skills assessment chart for junior anesthesiology residents at St. Luke’s International Hospital, Tokyo. The tool, created collaboratively by peri-anesthesia nurses and anesthesiologists, includes 20 items grouped under five goals: proper patient positioning, correct laryngoscope insertion, obtaining an optimal laryngeal view, correct tracheal tube insertion with ventilation, and trauma avoidance.
Five residents performed simulator-based intubations that were video recorded and scored by expert anesthesiologists. Internal consistency was high (Cronbach’s α=0.8), and inter-rater reliability was strong (ICC=0.78). Validity testing showed a strong correlation (r=0.9) between participant scores and the predetermined gold standard score of 52. Goals 2–4 strongly correlated with total scores, while Goal 1 (positioning) and Goal 5 (injury avoidance) showed weaker, non-significant correlations, indicating areas needing educational reinforcement.
The study concluded that the chart reliably measures intubation competency, supports standardized training, and emphasizes the role of peri-anesthesia nurses in airway management education. Future plans include expanding the sample size, benchmarking against established tools like OSATS and DOPS, and improving training on positioning and trauma prevention.
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