Resident Training Enhanced by New Innovations: Teleintubation
|ClinicalTrials.gov Identifier: NCT02572427|
Recruitment Status : Completed
First Posted : October 9, 2015
Results First Posted : December 15, 2015
Last Update Posted : August 24, 2016
|Condition or disease||Intervention/treatment||Phase|
|Asphyxia Neonatorum||Other: Education for intubation skills Other: No added education for intubation skills||Not Applicable|
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.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||82 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Video Laryngoscopy for Enhancing and Maintaining Intubation Skills|
|Study Start Date :||September 2013|
|Actual Primary Completion Date :||November 2014|
|Actual Study Completion Date :||November 2014|
Experimental: Education for intubation skills
Interventions: Training for Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP); 7 minute excerpt from the NRP training video regarding intubation; cognitive instruction which consisted of equipment needed for intubation; hands on instruction using the Storz video laryngoscope with manikins in simulation lab.
Other: Education for intubation skills
Routine training in neonatal resuscitation, intensive cognitive and hands on training for intubating neonates using manikins in a simulation lab.
Active Comparator: No added education for intubation skills
Interventions: Training for Routine Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP) training; no additional training for intubating newborns.
Other: No added education for intubation skills
Routine training in neonatal resuscitation but no added experience in simulation lab.
- Skill in Intubating Neonatal Manikin [ Time Frame: Up to two minutes ]Time in seconds needed to intubate neonatal manikin Skill test on neonatal resuscitation in simulation lab
- Knowledge Concerning Intubation of Neonates [ Time Frame: 30 minutes ]Score on cognitive test on intubation of neonates.Scores ranged on scale from 0 to 21 , with higher score indicating greater knowledge (better outcome).
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02572427
|Principal Investigator:||Richard W Hall, M.D.||University of Arkansas|