Article
Education & Educational Research
Heidi Al-Wassia, Maha Bamehriz, Gamal Atta, Hamada Saltah, Abeer Arab, Abdulaziz Boker
Summary: This study aimed to compare the effect of using high- versus low-fidelity mannequin simulation-based training on the acquisition and retention of neonatal intubation skills by junior pediatric residents. The results showed that simulation-based training improved pediatric residents' intubation skills regardless of the level of fidelity.
BMC MEDICAL EDUCATION
(2022)
Article
Pediatrics
Lorenzo Zanetto, Francesco Cavallin, Nicoletta Doglioni, Benedetta Bua, Sandro Savino, Giuseppe De Bernardo, Simone Pratesi, Paolo Ernesto Villani, Gary M. Weiner, Daniele Trevisanuto
Summary: Participants in a simulation competition on neonatal resuscitation expressed satisfaction with the educational experience and believed that it improved their knowledge and self-confidence. Suggestions for improvement include more time for familiarization and better communication between judges and participants.
Article
Education & Educational Research
Roya Farhadi, Bita Khalili Azandehi, Fattane Amuei, Mozhgan Ahmadi, Atefeh Zabihi Zazoly, Ali Asghar Ghorbani
Summary: Team-based simulation training improves knowledge, skills, and performance of pediatric residents and has a positive effect on their self-confidence and leadership skills.
BMC MEDICAL EDUCATION
(2023)
Article
Pediatrics
Peter Evans, Justine Shults, Danielle D. Weinberg, Natalie Napolitano, Anne Ades, Lindsay Johnston, Orly Levit, Brianna Brei, Jeanne Krick, Taylor Sawyer, Kristen Glass, Michelle Wile, Janice Hollenberg, Jennifer Rumpel, Ahmed Moussa, Alexandra Verreault, Ayman Abou Mehrem, Alexandra Howlett, Julie McKanna, Akira Nishisaki, Elizabeth E. Foglia
Summary: This study aimed to characterize neonatal-perinatal medicine fellows' progression towards neonatal intubation procedural competence during fellowship training. The results showed that the number of intubations required to achieve competence varied among trainees, with an overall success rate of 77%. The advancement quarter of fellowship training was independently associated with an increased odds of successful intubation.
Article
Emergency Medicine
Joshua Nagler, Marc Auerbach, Michael C. Monuteaux, John A. Cheek, Franz E. Babl, Ed Oakley, Lucia Nguyen, Arjun Rao, Sarah Dalton, Mark D. Lyttle, Santiago Mintegi, Rakesh D. Mistry, Andrew Dixon, Pedro Rino, Guillermo Kohn-Loncarica, Stuart R. Dalziel, Simon Craig
Summary: Research findings show that bag-mask ventilation and endotracheal intubation are the most commonly performed pediatric airway procedures by emergency medicine physicians, while surgical airways are very infrequent. Supervising airway procedures may help maintain procedural confidence for physicians despite limited opportunities as the primary proceduralist.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Ashish Shah, Katherine Edmunds, Preston Dean, Mary Frey, Stephanie Boyd, Karen Ahaus, Yin Zhang, Kartik Varadarajan, Benjamin T. Kerrey
Summary: The study aimed to develop a framework for data collection to determine the contributions of laryngoscopy and tube delivery intervals to the apneic period in pediatric emergency department (PED) patients undergoing rapid sequence intubation (RSI). The study found that prolonged tube delivery accounted for more of the apneic period.
PEDIATRIC EMERGENCY CARE
(2022)
Article
Pediatrics
Serena Bardelli, Giulio Del Corso, Massimiliano Ciantelli, Marta Del Pistoia, Francesca Lorenzoni, Nicoletta Fossati, Rosa T. Scaramuzzo, Armando Cuttano
Summary: This study demonstrates that digital game based learning methodologies are as effective as traditional specialist training for neonatal resuscitation in terms of both learning and knowledge retention, and in some aspects even better.
FRONTIERS IN PEDIATRICS
(2022)
Article
Pediatrics
Gazmend Berisha, Anne Marthe Boldingh, Elin Wahl Blakstad, Arild Erlend Ronnestad, Anne Lee Solevag
Summary: Handling a difficult airway situation is crucial in neonatal care, as failure to secure ventilation can lead to serious complications such as bradycardia and cardiac arrest. While guidelines exist in the UK and Scotland, Norway lacks a national guideline for managing the unanticipated difficult airway in the delivery room and neonatal intensive care unit. Anesthesiology experience shows that a well-defined algorithm, advance planning, and routine practicing can prepare the resuscitation team to respond adequately to the challenges of a difficult airway situation.
FRONTIERS IN PEDIATRICS
(2021)
Article
Emergency Medicine
Hannah Mary Dalrymple, Kathryn Browning Carmo
Summary: The aim of this study was to increase the first-pass intubation rate by introducing daily intubation simulation in a mixed neonatal and pediatric retrieval service. The results showed that the first-pass intubation rates improved during the intervention period compared with a historical cohort, despite performing fewer intubations overall. No severe adverse events were detected.
PEDIATRIC EMERGENCY CARE
(2022)
Article
Pediatrics
Irene Rod, Anna-Kristi Jorstad, Hanne Aagaard, Arild Ronnestad, Anne Lee Solevag
Summary: The study found that training advanced clinical neonatal nursing students with real-time feedback on bag-mask ventilation did not result in improved performance in a simulated neonatal resuscitation scenario.
FRONTIERS IN PEDIATRICS
(2022)
Article
Pediatrics
Si-Lu Wang, Chun Chen, Xin-Yue Gu, Zhao-Qing Yin, Le Su, Si-Yuan Jiang, Yun Cao, Li-Zhong Du, Jian-Hua Sun, Jiang-Qin Liu, Chuan-Zhong Yang
Summary: This study reviewed the intensity of delivery room resuscitation in Chinese tertiary neonatal intensive care units and investigated its association with short-term outcomes in preterm infants. The results showed that increased resuscitation intensity was associated with higher mortality and morbidities. There is wide variation in resuscitative approaches across delivery centers, highlighting the need for ongoing quality improvement to standardize resuscitation practices.
WORLD JOURNAL OF PEDIATRICS
(2023)
Article
Pediatrics
Anne P. Runkle, James Gray, Mary K. Cabrera-Thurman, Mary Frey, Erin F. Hoehn, Benjamin T. Kerrey, Adam A. Vukovic
Summary: The study aimed to reduce the time required for crucial interventions during the resuscitation of pediatric out-of-hospital cardiac arrest (OHCA) patients in the emergency department (ED) through standardized choreography. The interventions resulted in a decrease in the time required to complete the entire resuscitation bundle, as well as improvement in individual elements of the bundle. The standardized choreography shows promise in decreasing the time required for crucial interventions in pediatric OHCA patients presenting to the ED.
Article
Obstetrics & Gynecology
L. Gariepy-Assal, M. Janaillac, G. Ethier, T. Pennaforte, C. Lachance, K. J. Barrington, A. Moussa
Summary: A tiny baby intubation team (TBIT) improves the success rate of endotracheal intubation (ETI) in extremely low birth weight (ELBW) infants but decreases the educational exposure of residents. Educational strategies can help maintain residents' procedural competency without impacting the quality of care.
JOURNAL OF PERINATOLOGY
(2023)
Review
Anesthesiology
Kevin P. Blaine, Roman Dudaryk, Andrew D. Milne, Tiffany S. Moon, David Nagy, Joshua W. Sappenfield, Justin J. Teng
Summary: The training and education for trauma anesthesiology are currently conducted through two primary pathways, both of which have shortcomings. One is learning through complex, massive transfusion cases, but this assumption is flawed due to the unique demands, skills, and knowledge of trauma anesthesiology. The other is experiential education, but it is incomplete due to its unpredictable and variable exposure. This article proposes a tier-based approach to teaching the American Board of Anesthesiology (ABA) outline for trauma education, including lectures, simulation, problem-based learning discussions, and case-based discussions with knowledgeable facilitators.
ANESTHESIA AND ANALGESIA
(2023)
Article
Pediatrics
Ewa Gizicki, Michael-Andrew Assaad, Edith Masse, Sylvie Belanger, Francois Oliver, Ahmed Moussa
Summary: The study aimed to assess the effectiveness of simulation-based just-in-time training (JITT) compared to video training in acquiring skill in neonatal endotracheal intubation (ETI). The results showed that simulation-based JITT improved the first attempt success rate and reduced the number and duration of ETI attempts. This suggests that simulation-based JITT can be an effective educational tool for neonatal ETI.
JOURNAL OF PEDIATRICS
(2023)