Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Videolaryngoscope vs Classic Laryngoscope in Teaching Neonatal Endotracheal Intubation: a Randomized Controlled Trial.
Brief Summary: Every year thousands of neonates born in North America need extensive resuscitation which often includes endotracheal intubation (ETI). In these situations, Pediatricians assume the role of Neonatal Resuscitation Program (NRP) providers and are responsible of the ETI procedure. They acquire this skill during residency training in the Neonatal Intensive Care Unit (NICU) and the delivery room. Difficulties in performing neonatal ETI lie in the small size of the mouth and airway of the neonate, and their particular anatomy of the larynx. This limited visibility represents a challenge even for the experienced clinician. Recently, a new videolaryngoscope (VL) technique has been introduced to the adult and pediatric medical fields as described respectively by Kaplan et al. and Weiss et al. In 2009, Vanderhal et al. reported a preliminary experience in the newborn population. Video assisted intubation could be a method of choice in teaching neonatal ETI.

To the best of our knowledge, there is no human study comparing the VL to the classic laryngoscope (CL) for acquiring the skill of neonatal ETI in the NICU.

This study aims:

1. To assess if the videolaryngoscope is superior to the classic laryngoscope in acquiring the neonatal endotracheal intubation skill in the Neonatal Intensive Care Unit; and
2. To assess if once the skill is acquired with the videolaryngoscope this experience is transferable to the use of the classic laryngoscope by showing a persistent difference in success rate in favor of the videolaryngoscope group.

The hypothesis are

1. Primary hypothesis:

   In the Neonatal Intensive Care Unit, use of the videolaryngoscope will increase success rate of endotracheal intubation by 20% compared to the classic laryngoscope. Later, acquired experience from the videolaryngoscope will be transferable to the use of the classic laryngoscope by showing a persistent difference in success rate of 20% in favor of the videolaryngoscope group.
2. Secondary hypothesis We expect that the videolaryngoscope will decrease time to intubation, and decrease rate of esophageal and right bronchial main stem intubations. It will also improve teaching of endotracheal intubations to pediatric residents by helping supervisors recognize problems related to intubation and by improving residents' level of confidence in performing the skill.


Options:
A: Arm Label: Direct Laryngoscopy; Type: ACTIVE_COMPARATOR; Interventions: Device: Miller Direct Laryngoscopy | Arm Label: KingVision Video Laryngoscope; Type: EXPERIMENTAL; Interventions: Device: Ambu KingVision Video Laryngoscope aBlade | Intervention Type: DEVICE; Name: Ambu KingVision Video Laryngoscope aBlade; Assigned to Arm(s): KingVision Video Laryngoscope | Intervention Type: DEVICE; Name: Miller Direct Laryngoscopy; Assigned to Arm(s): Direct Laryngoscopy
B: Arm Label: Video Laryngoscopy for endotracheal (ET) Placement; Type: ACTIVE_COMPARATOR; Interventions: Device: Video Laryngoscopy for ET placement, Device: Direct Laryngoscopy for ET Placement | Arm Label: Direct Laryngoscopy for ET Placement; Type: ACTIVE_COMPARATOR; Interventions: Device: Video Laryngoscopy for ET placement, Device: Direct Laryngoscopy for ET Placement | Intervention Type: DEVICE; Name: Video Laryngoscopy for ET placement; Assigned to Arm(s): Direct Laryngoscopy for ET Placement, Video Laryngoscopy for endotracheal (ET) Placement | Intervention Type: DEVICE; Name: Direct Laryngoscopy for ET Placement; Assigned to Arm(s): Direct Laryngoscopy for ET Placement, Video Laryngoscopy for endotracheal (ET) Placement
C: Arm Label: Storz videolaryngoscope; Type: EXPERIMENTAL; Interventions: Device: Storz videolaryngoscope | Arm Label: Airtraq; Type: ACTIVE_COMPARATOR; Interventions: Device: Airtraq | Intervention Type: DEVICE; Name: Storz videolaryngoscope; Assigned to Arm(s): Storz videolaryngoscope | Intervention Type: DEVICE; Name: Airtraq; Assigned to Arm(s): Airtraq
D: Arm Label: Classic laryngoscope; Type: OTHER; Interventions: Device: Miller laryngoscope | Arm Label: Videolaryngoscope; Type: OTHER; Interventions: Device: Storz videolaryngoscope | Intervention Type: DEVICE; Name: Miller laryngoscope; Assigned to Arm(s): Classic laryngoscope | Intervention Type: DEVICE; Name: Storz videolaryngoscope; Assigned to Arm(s): Videolaryngoscope

Answer: D