This study evaluates a new approach to the instruction of pediatric residents in the skill of neonatal intubation. Half of the participants will receive focused simulation training and cognitive instruction while the other half will not. The collected data from both groups will be compared.
Current findings suggest that the training of pediatric residents is not sufficient prior to "live" tracheal intubations in the critical care setting. The current one to two days of airway management training as a part of resuscitation training (such as Pediatric Advanced Life Support (PALS) or Neonatal Resuscitation Program (NRP) is not sufficient to provide safe intubation skills. This study will develop and implement tracheal intubation training using concepts of deliberate practice modeled after Ericsson. The concepts include focused training on a specific task, immediate feedback, time for problem solving and evaluation, and opportunities for repeated performance using a manikin. This proposal is an attempt to develop such a training model. Video recordings of live intubations will be reviewed and evaluated. The data between the two groups will be compared to see if there is improved intubation skills of live patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
102
• Complete a Hands-on Intubation in the Simulation Lab with PI instructing: * Using state of the art technology, a Storz C-MAC video laryngoscope * Identifying anatomical landmarks * Practice on the manikin until intubation occurs within 15 seconds
• Does not receive simulation training with PI. Only standard training.
University of Arkansas for Medical Sciences
Little Rock, Arkansas, United States
Successful Intubation Encounters on Live Neonates
Residents reported the number of successful intubation encounters they performed during their one month long NICU rotation. A successful intubation encounter is an intubation procedure where the resident successfully placed the the endotracheal tube (ETT) through the vocal cords into the trachea. Placement was confirmed with xray, chest auscultation, improvement in heart rate, and CO2 detectors.
Time frame: 1 month- neonatal intensive care unit (NICU) rotation
Successful Intubations on the First Attempt
Each resident reported the number of successful intubation encounters requiring one attempt on live infants during their NICU rotation. An intubation attempt occurs any time the laryngoscope enters the neonate's mouth. There can be multiple intubation attempts in one intubation encounter. However this outcome focuses on intubation encounters where the neonate was intubated on the first attempt by the resident.
Time frame: 1 month- NICU rotation
Total Number of Intubation Encounters Performed by Each Resident During Their NICU Rotation
The mean number of intubation encounters performed by each resident during their NICU rotation was compared between the Control and Intervention groups.
Time frame: 1 month- NICU rotation
Change in Time to Intubate the Mannequin
All study residents intubated the mannequin before and after their NICU rotation. The total time of the mannequin intubation encounter was recorded. The difference in the time from end of the NICU rotation and the baseline time (beginning of the NICU rotation) was calculated.
Time frame: 1 month- NICU rotation
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