Mind the gap: can videolaryngoscopy bridge the competency gap in neonatal endotracheal intubation among pediatric trainees? a randomized controlled study<\/a>.\u00a0 The study involved taking 100 pediatric residents and randomizing them into two groups.\u00a0 The first would use the videolaryngoscope (VL group) and then intubate using the standard technique of direct laryngoscopy (DL group).\u00a0 The second group started with DL and then changed to VL. Both groups took part in a training session on intubation and then participated in three simulation scenarios from NRP. The findings demonstrated a couple interesting things.\u00a0 The first as shown in the graph was that the group that started with the laryngoscope had a near 90% success rate compared to about 60% for the traditional approach.\u00a0 When the groups swapped though they were both equal in effectiveness. This suggests that by visualizing the airway with the VL students were able to identify structures better after doing so such that success was improved simply by having used the device.<\/p>\nThe other finding worth mentioning was that when the times to intubation were looked at, there was no difference between the two groups at all.\u00a0 If the intubation success is no different, why might the times be the same?\u00a0 Having used the video laryngoscope myself it does take some getting used to.\u00a0 Rather than looking directly at the airway you find yourself looking off to the side and adjusting the approach that is in front of you to place the ETT.\u00a0 No doubt this does take some getting used to.<\/p>\n
What I would have liked to see is a repeat assessment a week later after using a few more trials with the VL as I suspect once you are used to it the speed of intubation would improve as well.\u00a0 I suppose though we will have to wait a little while until someone does such work but as a means of improving success in intubation I believe this tool has something to add.<\/p>\n","protected":false},"excerpt":{"rendered":"
Things aren’t the way they used to be. \u00a0When I was training, opportunities abounded for opportunities to intubate infants. \u00a0Then we did away with intubating vigourous infants born through meconium and now won’t be electively intubating them at all. \u00a0Then you can add in the move towards use of non-invasive respiratory support instead of intubating […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[119,90],"tags":[48],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p91QDZ-1ck","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/posts\/4608"}],"collection":[{"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/comments?post=4608"}],"version-history":[{"count":1,"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/posts\/4608\/revisions"}],"predecessor-version":[{"id":5499,"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/posts\/4608\/revisions\/5499"}],"wp:attachment":[{"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/media?parent=4608"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/categories?post=4608"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/allthingsneonatal.com\/wp-json\/wp\/v2\/tags?post=4608"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}