Education, Medical
Conditions
Keywords
Residences, Video Laryngoscopy, Intubations, Neonatal, NICU, neonates, Medical Education
Brief summary
This study examines the effectiveness of utilizing video laryngoscopy to give real-time guidance during neonatal intubations to improve residents' success at performing intubations.
Detailed description
To evaluate whether residents who receive guidance from a supervisor concurrently viewing the neonate's airway via video laryngoscopy will have a higher rate of successful neonatal intubations than residents receiving guidance using traditional direct laryngoscopy. The investigators conducted a randomized controlled trial involving 48 first and second year pediatric and medicine-pediatric residents who received either video-facilitated (VDL) or traditional (TDL) supervisor guidance during direct laryngoscopy. Residents attempted intubations in the neonatal intensive care unit according to their randomization group. The primary outcome was a successful intubation that occurred within two attempts.
Interventions
Residents intubate using video laryngoscopy.
Residents intubate without using video laryngoscopy.
Sponsors
Study design
Eligibility
Inclusion criteria
* 1st and 2nd Year Pediatric and Medicine-Pediatric Residents at the University of Rochester
Exclusion criteria
* Residents who declined participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Successful Intubations | 12 months | A successful intubation is defined as the placement of an endotracheal tube in the infant's trachea within two attempts. |
Secondary
| Measure | Time frame |
|---|---|
| Number of successful intubations by resident year | 12 months |
| Number of residents with successful intubations on the first and subsequent patients | 12 months |
| Average length of time of intubation attempts | 12 months |
| Number of both serious and non-serious adverse events | 12 months |
| Number of successful intubations by residency program | 12 months |