RT Journal Article SR Electronic T1 Trainees success rates with intubation to suction meconium at birth JF Archives of Disease in Childhood - Fetal and Neonatal Edition JO Arch Dis Child Fetal Neonatal Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP fetalneonatal-2017-313916 DO 10.1136/archdischild-2017-313916 A1 Marie-Ève Robinson A1 Ileana Diaz A1 Nicholas James Barrowman A1 Nicole Huneault-Purney A1 Brigitte Lemyre A1 Nicole Rouvinez-Bouali YR 2018 UL http://fn.bmj.com/content/early/2018/04/10/archdischild-2017-313916.abstract AB Objectives To assess the success rate and main reasons for failure of intubation performed by medical trainees to suction meconium below the vocal cords in non-vigorous infants delivered at ≥36 week gestation.Design We conducted a prospective cohort study involving 54 residents and nine neonatology fellows in a Canadian level 3 neonatal intensive care unit. Endotracheal intubation to suction meconium was performed using a videolaryngoscope, the video screen being covered during the procedure. All videos were reviewed by two experts blinded to the procedure and to the identity of the trainee.Results Sixteen videos were available to review between July 2014 and March 2016. Intubation success rate assessed by the reviewers was 6%, compared with 21% as assessed by the trainees. The most common reasons for intubation failure were an improper view of the glottis (87%) and meconium or secretions obscuring the view (67%). 36 % of the time, the trainees identified different reasons for intubation failure than the reviewers.Conclusion Success rateof neonatal intubation to suction meconium was much lower than the success rate reported on infants without meconium. Teaching should be geared towards the most common reasons for intubation failure, possibly using video-based teaching.