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  • Quality Improvement Article
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Quality Improvement

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

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.

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Acknowledgements

We gratefully acknowledge and thank all the staff at the Texas Children’s Simulation Center and Baylor College of Medicine pediatrics and medicine pediatrics residents who participated in this study. We are also grateful to Matthew Scheer from Karl-Storz for loaning the equipment that made this study possible.

Author contributions

Shweta Parmekar wrote the first draft of this manuscript.

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Correspondence to S Parmekar.

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The authors declare no conflict of interest.

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Parmekar, S., Arnold, J., Anselmo, C. et al. Mind the gap: can videolaryngoscopy bridge the competency gap in neonatal endotracheal intubation among pediatric trainees? a randomized controlled study. J Perinatol 37, 979–983 (2017). https://doi.org/10.1038/jp.2017.72

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