Resident Training Enhanced by New Innovations: Teleintubation

Asphyxia Neonatorum Clinical Trial

Official title:

Video Laryngoscopy for Enhancing and Maintaining Intubation Skills

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02572427
• Other study ID #: 202043
• Status: Completed
• Phase: N/A
• Start date: September 2013
• Est. completion date: November 2014

Study information

• Verified date: July 2016
• Source: University of Arkansas
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The overall goal of this study was to create a simulation environment with repeated practice for residents and intense, immediate feedback. Repeated simulations for neonatal resuscitation when coupled with clinical experience have been shown to improve resident confidence.The investigators sought to determine if resident exposure to individual training and video laryngoscopy using the C-MAC video laryngoscope would improve cognitive skills and decrease intubation times in a neonatal manikin. The primary outcome was time to intubation after one year. The secondary outcome was the ability to retain cognitive instruction related to intubation

Description:

Objective: Tracheal intubation of infants and children is a critical lifesaving skill, but many upper level pediatric residents are unable to successfully intubate neonates or pediatric patients in a timely manner. Simulation has been shown to be effective in teaching procedural skills, but it is not known if improvements in intubation skills can persist. The investigators sought to determine if video laryngoscopy could be used to enhance resident intubation skills that would be retained for one year.

Methods: There were 67 Pediatric and Internal Medicine/Pediatric residents, levels 1-4, who completed the study and were randomized by month of service into non-intervention (NI, n= 36) and intervention (IN, n=31) groups. IN residents observed the intubation portion of the Neonatal Resuscitation Program (NRP) training video and received cognitive instruction and 30 minutes of hands on instruction using a video laryngoscope. At the study's conclusion, 12 months after enrollment, residents completed a survey of intubations of live patients over the past year, a cognitive assessment of intubation, and were timed on intubating a manikin. Results were analyzed by Student's T-Test.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 82
• Est. completion date: November 2014
• Est. primary completion date: November 2014
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion criteria:

• Pediatric residents

Exclusion criteria:

• Residents from other departments

• Neonatology fellows

• Medical students

• Medical school Faculty

Related Conditions & MeSH terms

• Asphyxia
• Asphyxia Neonatorum

Intervention

Other:
• Education for intubation skills
Routine training in neonatal resuscitation, intensive cognitive and hands on training for intubating neonates using manikins in a simulation lab.
• No added education for intubation skills
Routine training in neonatal resuscitation but no added experience in simulation lab.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Arkansas

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Skill in Intubating Neonatal Manikin	Time in seconds needed to intubate neonatal manikin Skill test on neonatal resuscitation in simulation lab	Up to two minutes
Secondary	Knowledge Concerning Intubation of Neonates	Score on cognitive test on intubation of neonates.Scores ranged on scale from 0 to 21 , with higher score indicating greater knowledge (better outcome).	30 minutes