Mind the gap: can videolaryngoscopy bridge the competency gap in neonatal endotracheal intubation among pediatric trainees? a randomized controlled study

J Perinatol. 2017 Aug;37(8):979-983. doi: 10.1038/jp.2017.72. Epub 2017 May 18.

Abstract

Background: To study the impact of videolaryngoscopy (VL) on intubation success among pediatric trainees compared with direct laryngoscopy (DL).

Methods: One hundred pediatric residents were enrolled in a randomized, crossover, simulation study comparing VL to DL. Following a didactic session on neonatal intubation, residents intubated a standard neonatal mannequin. Three Neonatal Resuscitation Program (NRP) scenarios were then conducted, followed by a mannequin intubation with the alternate device. Number of attempts and time to intubation were recorded for all intubations.

Results: Proportion of successful intubations on first attempt was greater with VL compared with DL (88% versus 63%; P=0.008). The DL group increased success after crossover with VL (63% versus 89%; P=0.008). Exposure to VL also reduced intubation time after device crossover (median intubation time: 31 versus 17 s; P=0.048).

Conclusions: VL increased the success of endotracheal intubation by pediatric residents in simulation, with skills transferrable to DL.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Clinical Competence
  • Cross-Over Studies
  • Humans
  • Infant, Newborn
  • Internship and Residency / methods*
  • Intubation, Intratracheal* / methods
  • Intubation, Intratracheal* / standards
  • Laryngoscopy* / methods
  • Laryngoscopy* / standards
  • Manikins
  • Pediatrics* / education
  • Pediatrics* / methods
  • Resuscitation / education
  • Resuscitation / methods
  • Simulation Training / methods*
  • Time Factors
  • Video Recording / methods