Manikin To Patient Intubation: Does It Translate?

University of Arkansas

Status: Completed

Conditions: Intubation; Difficult or Failed

Treatments: Procedure: Intervention: Receives Training; Other: Intervention: Control No Training

Study type: Interventional

Funder types: Other

Identifiers

NCT03046966

205053

Details and patient eligibility

About

This study evaluates a new approach to the instruction of pediatric residents in the skill of neonatal intubation. Half of the participants will receive focused simulation training and cognitive instruction while the other half will not. The collected data from both groups will be compared.

Full description

Current findings suggest that the training of pediatric residents is not sufficient prior to "live" tracheal intubations in the critical care setting. The current one to two days of airway management training as a part of resuscitation training (such as Pediatric Advanced Life Support (PALS) or Neonatal Resuscitation Program (NRP) is not sufficient to provide safe intubation skills.

This study will develop and implement tracheal intubation training using concepts of deliberate practice modeled after Ericsson. The concepts include focused training on a specific task, immediate feedback, time for problem solving and evaluation, and opportunities for repeated performance using a manikin. This proposal is an attempt to develop such a training model. Video recordings of live intubations will be reviewed and evaluated. The data between the two groups will be compared to see if there is improved intubation skills of live patients.

Enrollment: 102 patients

Sex: All

Ages: 18 to 89 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Male and female residents from 18-89 years of age who have been assigned to the Neonatal Intensive Care Unit (NICU) for a monthly rotation are eligible to participate. At the beginning of all NICU rotations, all pediatric residents will be invited to participate in this research.

Exclusion criteria

• Any pediatric resident who does not wish to participate

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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102 participants in 2 patient groups

Intervention Control: No Training

Other group

Description:

Does not receive hands-on intubation training in the Simulation Lab.

Treatment:

Other: Intervention: Control No Training

Intervention: Receives Training

Other group

Description:

Receives hands-on intubation training in the Simulation Lab.

Treatment:

Procedure: Intervention: Receives Training