Using Video Laryngoscopy for Neonatal Intubation

Not Applicable

Completed

• Conditions: Education, Medical
• Interventions: Other: Video Laryngoscopy; Other: Traditional Laryngoscopy

• Registration Number: NCT03035175
• Lead Sponsor: University of Rochester

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.

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Study Start: 2014-05
• Primary Completion: 2016-06
• Study Completion: 2016-08
• Study First Submitted: 2017-01-24
• Study First Submitted QC: 2017-01-25
• Study First Posted: 2017-01-27
• Status Verified: 2023-10
• Last Update Submitted: 2023-10-02
• Last Update Posted: 2023-10-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

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

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Exclusion Criteria

• Residents who declined participation

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Video Laryngoscopy Group	Video Laryngoscopy	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.
Traditional Laryngoscopy Group	Traditional Laryngoscopy	Subjects enrolled in this arm, received traditional guidance while they performed direct neonatal intubations in the NICU.

Primary Outcome Measures

Name	Time	Method
Number of Successful Intubations	12 months	A successful intubation is defined as the placement of an endotracheal tube in the infant's trachea within two attempts.

Secondary Outcome Measures

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