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A randomized controlled trial: does coaching using video during direct laryngoscopy improve residents’ success in neonatal intubations?

Journal of Perinatology volume 38, pages 1074–1080 (2018)Cite this article

Subjects

Abstract

Objective

To evaluate the intubation success rates of residents who receive coaching from supervisors concurrently viewing infants’ airways via video during direct laryngoscopy (VDL), as compared with coaching during traditional direct laryngoscopy without video (TDL).

Study design

In a randomized controlled trial, 48 first and second-year residents performed neonatal intubations using VDL or TDL. The primary outcome was intubation success rates. Data were analyzed using the Pearson X2 and Student’s t-test.

Results

The overall intubation success rate was greater in the VDL vs. TDL group (57% vs. 33%, P < 0.05). First-year residents and residents intubating their first patient had higher intubation success rates in the VDL vs. TDL group (58% vs. 23% and 50% vs. 17%, respectively, P < 0.05).

Conclusions

Resident coaching using VDL improved neonatal intubation success rates. Incorporating VDL as a coaching tool can optimize the quality of training during limited opportunities to achieve procedural competency and improve intubation-related patient outcomes.

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Acknowledgements

The authors would like to acknowledge Judith Fonzi, PhD, for providing mentorship of Dr. Volz and this project during her Masters in Health Professions education, and Ronnie Guillet, MD, PhD, for her critical review of this project and manuscript.

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Authors and Affiliations

  1. Providence Alaska Medical Center, Anchorage, AK, USA

    Sarah Volz

  2. University of Rochester Medical Center, Rochester, NY, USA

    Timothy P. Stevens & Rita Dadiz

Authors
  1. Sarah Volz
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  2. Timothy P. Stevens
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  3. Rita Dadiz
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Corresponding author

Correspondence to Sarah Volz.

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The authors declare that they have no conflict of interest.

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Volz, S., Stevens, T.P. & Dadiz, R. A randomized controlled trial: does coaching using video during direct laryngoscopy improve residents’ success in neonatal intubations?. J Perinatol 38, 1074–1080 (2018). https://doi.org/10.1038/s41372-018-0134-7

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