Implementation of a Standardized Neonatal Intubation Training Package

O’Shea, Joyce E; Edwards, Gemma; Kirolos, Sandy; Godden, Cliodhna; Brunton, Andrew

doi:10.1016/j.jpeds.2021.04.056

Cited by 5 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study was planned under the assumption that VL would have a significant impact on the rate of successful first attempts. Based on previous studies and own experience, an improvement of 30% was expected 7 11. However, our results suggest that a potential positive effect of VL is significantly lower than what had been assumed.…”

Section: Discussionsupporting

confidence: 46%

“…The sample size was calculated based on success rates previously reported in non-randomised trials. 11 To detect an increase in the first-attempt success rate (primary outcome) from 50% in the DL group (control) to 80% in the VL group (intervention) with 80% power and a significance level of 5%, 78 intubation encounters were required. Assuming non-compliance and an expected crossover rate of 5% in each group, the sample size was finally estimated at 90 intubation encounters.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Video versus direct laryngoscopy to improve the success rate of nasotracheal intubations in the neonatal intensive care setting: a randomised controlled trial

Tippmann

Schafer

Winter

et al. 2023

bmjpo

View full text Add to dashboard Cite

ObjectiveTo assess whether video laryngoscopy (VL) for tracheal intubation of neonates results in a higher first-attempt success rate and fewer adverse tracheal intubation-associated events (TIAEs) when compared with direct laryngoscopy (DL).DesignSingle-centre, parallel group, randomised controlled trial.SettingUniversity Medical Centre Mainz, Germany.PatientsNeonates <440/7weeks postmenstrual age in whom tracheal intubation was indicated either in the delivery room or in the neonatal intensive care unit.InterventionIntubation encounters were randomly assigned to either VL or DL at first attempt.Primary outcomeFirst-attempt success rate during tracheal intubation.ResultsOf 121 intubation encounters assessed for eligibility, 32 (26.4%) were either not randomised (acute emergencies (n=9), clinicians’ preference for either VL (n=8) or DL (n=2)) or excluded from the analysis (declined parental consent (n=13)). Eighty-nine intubation encounters (41 in the VL and 48 in the DL group) in 63 patients were analysed. First-attempt success rate was 48.8% (20/41) in the VL group compared with 43.8% (21/48) in the DL group (OR 1.22, 95% CI 0.51 to 2.88).The frequency of adverse TIAEs was 43.9% (18/41) and 47.9% (23/48) in the VL and DL group, respectively (OR 0.85, 95% CI 0.37 to 1.97). Oesophageal intubation with concomitant desaturation never occurred in the VL group but in 18.8% (9/48) of intubation encounters in the DL group.ConclusionThis study provides effect sizes for first-attempt success rates and frequency of TIAEs with VL compared with DL in the neonatal emergency setting. This study was underpowered to detect small but clinically important differences between the two techniques. The results of this study may be useful in planning future trials.

show abstract

Section: Discussionsupporting

confidence: 46%

Section: Methodsmentioning

confidence: 99%

Video versus direct laryngoscopy to improve the success rate of nasotracheal intubations in the neonatal intensive care setting: a randomised controlled trial

Tippmann

Schafer

Winter

et al. 2023

bmjpo

View full text Add to dashboard Cite

show abstract

“…The use of videolaryngoscopy has expanded in recent years and using it as a teaching tool during both simulation and actual patient encounters has the potential for improving the educational process. Though results of using videolaryngoscopy for teaching are not uniformly beneficial, when used as part of an overall training program, it has been successful at improving intubation success rates among trainees at multiple levels [13,14 ▪ ]. The video laryngoscope can be used as a direct laryngoscope by the trainee with the screen visible to the supervisor and other clinicians present to help guide the learner.…”

Section: Educational Framework Examplementioning

confidence: 99%

Procedural training in neonatology

Leone

2023

Current Opinion in Pediatrics

View full text Add to dashboard Cite

Purpose of reviewTo discuss a structured training process that can be used to guide curricula development in procedural skills in neonatal perinatal medicine training programs.Recent findingsAchieving proficiency in life savings skills such as neonatal endotracheal intubation does not occur for all graduates of neonatal perinatal medicine programs. Innovations in procedural skills training offer opportunities to enhance the current educational environment and improve competency at all levels of learning.SummaryA deliberate process of planning for procedural skills training and assessment of training outcomes is essential to ensure competence among graduates and practicing clinicians.

show abstract