Clinical trial NCT03035175: Using Video Laryngoscopy for Neonatal Intubation
Official title: A Randomized Control Trial: Does Guidance Using Video Laryngoscopy Improve Residents' Success in Neonatal Intubation?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Education, Medical
Keywords: Residences
Video Laryngoscopy
Intubations
Neonatal
NICU
neonates
Medical Education
Lead sponsor: University of Rochester
Sponsor class: OTHER
First posted: 2017-01-27
Enrollment: 48
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

* 1st and 2nd Year Pediatric and Medicine-Pediatric Residents at the University of Rochester

Exclusion Criteria:

* Residents who declined participation

Primary outcomes:
measure: Number of Successful Intubations
timeFrame: 12 months
Secondary outcomes:
measure: Number of successful intubations by resident year
timeFrame: 12 months
measure: Number of residents with successful intubations on the first and subsequent patients
timeFrame: 12 months
measure: Average length of time of intubation attempts
timeFrame: 12 months
measure: Number of both serious and non-serious adverse events
timeFrame: 12 months
measure: Number of successful intubations by residency program
timeFrame: 12 months
Other outcomes:
Locations:
Study officials:
affiliation: University of Rochester
name: Rita Dadiz, DO
role: PRINCIPAL_INVESTIGATOR
References:
citation: Haubner LY, Barry JS, Johnston LC, Soghier L, Tatum PM, Kessler D, Downes K, Auerbach M. Neonatal intubation performance: room for improvement in tertiary neonatal intensive care units. Resuscitation. 2013 Oct;84(10):1359-64. doi: 10.1016/j.resuscitation.2013.03.014. Epub 2013 Apr 3.
citation: Falck AJ, Escobedo MB, Baillargeon JG, Villard LG, Gunkel JH. Proficiency of pediatric residents in performing neonatal endotracheal intubation. Pediatrics. 2003 Dec;112(6 Pt 1):1242-7. doi: 10.1542/peds.112.6.1242.
citation: O'Shea JE, Thio M, Kamlin CO, McGrory L, Wong C, John J, Roberts C, Kuschel C, Davis PG. Videolaryngoscopy to Teach Neonatal Intubation: A Randomized Trial. Pediatrics. 2015 Nov;136(5):912-9. doi: 10.1542/peds.2015-1028. Epub 2015 Oct 19.
citation: Moussa A, Luangxay Y, Tremblay S, Lavoie J, Aube G, Savoie E, Lachance C. Videolaryngoscope for Teaching Neonatal Endotracheal Intubation: A Randomized Controlled Trial. Pediatrics. 2016 Mar;137(3):e20152156. doi: 10.1542/peds.2015-2156. Epub 2016 Feb 12.