Using Video Laryngoscopy for Neonatal Intubation

Study Overview
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Brief Summary
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This study examines the effectiveness of utilizing video laryngoscopy to give real-time guidance during neonatal intubations to improve residents' success at performing intubations.

Detailed Description
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To evaluate whether residents who receive guidance from a supervisor concurrently viewing the neonate's airway via video laryngoscopy will have a higher rate of successful neonatal intubations than residents receiving guidance using traditional direct laryngoscopy. The investigators conducted a randomized controlled trial involving 48 first and second year pediatric and medicine-pediatric residents who received either video-facilitated (VDL) or traditional (TDL) supervisor guidance during direct laryngoscopy. Residents attempted intubations in the neonatal intensive care unit according to their randomization group. The primary outcome was a successful intubation that occurred within two attempts.

Official Title
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A Randomized Control Trial: Does Guidance Using Video Laryngoscopy Improve Residents' Success in Neonatal Intubation?

Conditions
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Education, Medical

Intervention / Treatment
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* Other: Video Laryngoscopy
* Other: Traditional Laryngoscopy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1st and 2nd Year Pediatric and Medicine-Pediatric Residents at the University of Rochester Exclusion Criteria: Residents who declined participation

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video Laryngoscopy Group<br>Subjects enrolled in this arm received real-time guidance from a supervisor utilizing the screen of the video laryngoscope while the subjects performed direct neonatal intubations in the NICU. | Other: Video Laryngoscopy<br>* Residents intubate using video laryngoscopy.<br>* Other names: Technology-Assisted Instruction;|
| Active Comparator: Traditional Laryngoscopy Group<br>Subjects enrolled in this arm, received traditional guidance while they performed direct neonatal intubations in the NICU. | Other: Traditional Laryngoscopy<br>* Residents intubate without using video laryngoscopy.<br>* Other names: Traditional Instruction;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Successful Intubations | A successful intubation is defined as the placement of an endotracheal tube in the infant's trachea within two attempts. | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of successful intubations by resident year |  | 12 months | 
| Number of residents with successful intubations on the first and subsequent patients |  | 12 months | 
| Average length of time of intubation attempts |  | 12 months | 
| Number of both serious and non-serious adverse events |  | 12 months | 
| Number of successful intubations by residency program |  | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Residences, Video Laryngoscopy, Intubations, Neonatal, NICU, neonates, Medical Education