Using Video Laryngoscopy for Neonatal Intubation

NCT ID: NCT03035175

Last Updated: 2023-10-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2016-08-31

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.

Conditions

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Education, Medical

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Video Laryngoscopy Group

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.

Group Type EXPERIMENTAL

Video Laryngoscopy

Intervention Type OTHER

Residents intubate using video laryngoscopy.

Traditional Laryngoscopy Group

Subjects enrolled in this arm, received traditional guidance while they performed direct neonatal intubations in the NICU.

Group Type ACTIVE_COMPARATOR

Traditional Laryngoscopy

Intervention Type OTHER

Residents intubate without using video laryngoscopy.

Interventions

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Video Laryngoscopy

Residents intubate using video laryngoscopy.

Intervention Type OTHER

Traditional Laryngoscopy

Residents intubate without using video laryngoscopy.

Intervention Type OTHER

Other Intervention Names

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Technology-Assisted Instruction Traditional Instruction

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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Rochester

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rita Dadiz, DO

Role: PRINCIPAL_INVESTIGATOR

University of Rochester

References

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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.

Reference Type BACKGROUND
PMID: 23562374 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 14654592 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26482669 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26908701 (View on PubMed)

Other Identifiers

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RSRB00051876

Identifier Type: -

Identifier Source: org_study_id

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