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Neonatal airway simulators, how good are they? A comparative study of physical and functional fidelity

Abstract

Objective:

Proficiency in airway management is critical for neonatal health-care professionals. Simulation is a proven method to improve airway management skills. Skills transfer from simulation to the real life requires simulators with appropriate physical and functional fidelity.

Study design:

A cohort of neonatal health-care professionals evaluated eight different neonatal airway simulators for physical and functional fidelity.

Result:

Twenty-seven subjects completed 151 simulator evaluations. Significant differences were found between the simulators evaluated (P<0.001). The manikins with the highest fidelity scores were the SimNewB, Newborn Anne and Premature Anne (Laerdal Medical). The task trainers with the highest fidelity scores were the Neonatal Intubation Trainer (Laerdal Medical) and the Newborn Airway Trainer (Syndaver Labs).

Conclusion:

Simulator fidelity is an important aspect of simulation training, but is rarely evaluated. The results of this study can aid in choosing the best simulators for training and research, and provide feedback to the industry to guide future simulator development.

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Acknowledgements

We thank the neonatal fellows, neonatal nurse practitioners and neonatologists in the University of Washington, Division of Neonatology for their participation in the study. The Premature Anne manikin used in this study was provided to the investigators on educational loan from Laerdal Medical before its commercial release. All other simulators used in this investigations were previously purchased and owned by the University of Washington Neonatal Education and Simulation-based Training (NEST) Program, or the University of Washington Institute for Simulation and Interprofessional Studies.

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Correspondence to T Sawyer.

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Sawyer, T., Strandjord, T., Johnson, K. et al. Neonatal airway simulators, how good are they? A comparative study of physical and functional fidelity. J Perinatol 36, 151–156 (2016). https://doi.org/10.1038/jp.2015.161

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