To assess the educational and clinical impact of a tiny baby intubation team (TBIT).
Retrospective study comparing endotracheal intubation (ETI) performed: pre-implementation of a TBIT (T1), 6 months post-implementation (T2), and 4 years post-implementation (T3).
Post-implementation (T2), first-attempt success rate in tiny babies increased (44% T1; 59% T2, p = 0.04; 56% T3, p = NS) and the proportion of ETIs performed by residents decreased (53% T1; 37% T2, p = 0.001; 45% T3, p = NS). After an educational quality improvement intervention (prioritizing non-tiny baby ETIs to residents, systematic simulation training and ETI using videolaryngoscopy), in T3 residents’ overall (67% T1; 60% T2, p = NS; 79% T3, p = 0.02) and non-tiny baby ETI success rate improved (72% T1; 60% T2, p = NS; 82% T3, p = 0.02).
A TBIT improves success rate of ETIs in ELBW infants but decreases educational exposure of residents. Educational strategies may help maintain resident procedural competency without impacting on quality of care.
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The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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The authors declare no competing interests.
This study was approved by the Sainte-Justine University Hospital institutional review board (Reference number: 2016-1209) and performed in accordance with the Declaration of Helsinki.
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Gariépy-Assal, L., Janaillac, M., Ethier, G. et al. A tiny baby intubation team improves endotracheal intubation success rate but decreases residents’ training opportunities. J Perinatol (2022). https://doi.org/10.1038/s41372-022-01546-8