Clinical Trial: Resident Training Enhanced by New Innovations: Teleintubation
Study Status: Completed
Recruit Status: Completed
Study Type: Interventional
Official Title: Video Laryngoscopy for Enhancing and Maintaining Intubation Skills
Brief Summary: The overall goal of this study was to create a simulation environment with repeated practice for residents and intense, immediate feedback. Repeated simulations for neonatal resuscitation when coupled with clinical experience have been shown to improve resident confidence.The investigators sought to determine if resident exposure to individual training and video laryngoscopy using the C-MAC video laryngoscope would improve cognitive skills and decrease intubation times in a neonatal manikin. The primary outcome was time to intubation after one year. The secondary outcome was the ability to retain cognitive instruction related to intubation
Detailed Summary:
Objective: Tracheal intubation of infants and children is a critical lifesaving skill, but many upper level pediatric residents are unable to successfully intubate neonates or pediatric patients in a timely manner. Simulation has been shown to be effective in teaching procedural skills, but it is not known if improvements in intubation skills can persist. The investigators sought to determine if video laryngoscopy could be used to enhance resident intubation skills that would be retained for one year.
Methods: There were 67 Pediatric and Internal Medicine/Pediatric residents, levels 1-4, who completed the study and were randomized by month of service into non-intervention (NI, n= 36) and intervention (IN, n=31) groups. IN residents observed the intubation portion of the Neonatal Resuscitation Program (NRP) training video and received cognitive instruction and 30 minutes of hands on instruction using a video laryngoscope. At the study's conclusion, 12 months after enrollment, residents completed a survey of intubations of live patients over the past year, a cognitive assessment of intubation, and were timed on intubating a manikin. Results were analyzed by Student's T-Test.
Sponsor: University of Arkansas
Current Primary Outcome: Skill in Intubating Neonatal Manikin [ Time Frame: Up to two minutes ]
Original Primary Outcome: Skill in Intubating Neonatal Manikin [ Time Frame: Through study completion, an average of 1 year ]
Current Secondary Outcome: Knowledge Concerning Intubation of Neonates [ Time Frame: 30 minutes ]
Original Secondary Outcome: Knowledge Concerning Intubation of Neonates [ Time Frame: Through study completion, an average of 1 year ]
Information By: University of Arkansas
Dates:
Date Received: October 6, 2015
Date Started: September 2013
Date Completion:
Last Updated: July 25, 2016
Last Verified: July 2016
