Real-Time Intubation and Ventilation Feedback: A Randomized Controlled Simulation Study.
Pediatrics
; 151(5)2023 05 01.
Article
en En
| MEDLINE
| ID: mdl-37038898
ABSTRACT
BACKGROUNDS This study aimed to determine the best educational application of a respiratory function monitor and a video laryngoscope. METHODS:
This study was a randomized controlled simulation-based trial, including 167 medical students. Participants had to execute ventilation and intubation maneuvers on a newborn manikin. Participants were randomized into 3 groups. In group A (no-access), the feedback devices were not visible but recording. In group B (supervisor-access), the feedback devices were visible to the supervisor only. In group C (full-access), both the participant and the supervisor had visual access.RESULTS:
The two main outcome variables were the percentage of ventilations within the tidal volume target range (4-8mL/kg) and the number of intubation attempts. Group C achieved the highest percentage of ventilations within the tidal volume target range (full-access 63.6%, supervisor-access 51.0%, no-access 31.1%, P < .001) and the lowest mask leakage (full-access 34.9%, supervisor-access 46.6%, no-access 61.6%; A to B P < .001, A to C P < .001, B to C P = .003). Overall, group C achieved superior ventilation quality regarding primary and secondary outcome measures. The number of intubation attempts until success was lowest in the full-access group (full-access 1.29, supervisor-access 1.77, no-access 2.43; A to B P = .001, A to C P < .001, B to C P = .015).CONCLUSIONS:
Our findings confirm that direct visual access to feedback devices for supervisor and trainees alike considerably benefits outcomes and can contribute to the future of clinical education.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Laringoscopios
/
Intubación Intratraqueal
Tipo de estudio:
Clinical_trials
Límite:
Humans
/
Newborn
Idioma:
En
Revista:
Pediatrics
Año:
2023
Tipo del documento:
Article