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Real-Time Intubation and Ventilation Feedback: A Randomized Controlled Simulation Study
- Source :
- Pediatrics. 151
- Publication Year :
- 2023
- Publisher :
- American Academy of Pediatrics (AAP), 2023.
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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.
- Subjects :
- Pediatrics, Perinatology and Child Health
Subjects
Details
- ISSN :
- 10984275 and 00314005
- Volume :
- 151
- Database :
- OpenAIRE
- Journal :
- Pediatrics
- Accession number :
- edsair.doi...........73ea321ec9298134a68b2163fe2a0923