Neonatal Intubation (NIQI)

ProjectsLC Johnston, MA Auerbach, T Sawyer, A Ades, HM

French, J Barry, L Haubner, K Glass, J Arnold

Yale, Seattle Children’s, CHOP, Denver Children’s, USF, Penn

State, Baylor

INSPIRE @ IMSH 2014: San Francisco, California,USA

International Network for Simulation-based Pediatric Innovation, Research and Education

• Neonatal intubation is a critical skill for pediatric providers

• Haubner et al identified that success rates are poor, and result

primarily from inability to visualize the airway

• Multiple projects directed at improving ability to visualize airway,

track success rates, and determine short & long-term patient

outcomes of difficult intubations

– Storz CMAC videolaryngoscope + Deliberate Practice

– Haptic vs Mouse-Based Module for teaching intubation

– NEAR4Kids- NICU

International Network for Simulation-based Pediatric Innovation, Research and Education

Background

Haubner et al Resuscitation 2013

• P: Neonatal fellows or senior pediatric residents

• I: Educational session with deliberate practice +

Videolaryngoscope image

• C: Educational session with deliberate practice

• O: Time to train to mastery (Efficiency) and % fellows

achieving mastery (Effectiveness)

International Network for Simulation-based Pediatric Innovation, Research and Education

PICO Question

• Multi-center, Randomized trial

• Phases:

– Demographics/ Knowledge & Attitudes

– Pre-Training Module**

– Post-Module Knowledge Assessment

– Individualized, hands-on instruction

• Baseline assessment of procedural skills

• Scripted education with Expert modeling

• Deliberate practice

• Assessement of skill mastery (GSA & procedural skills checklist)

– Final Knowledge & Attitudes Assessment + Feedback

International Network for Simulation-based Pediatric Innovation, Research and Education

Approach / Design

• ALERT Presentation

• Grant Proposal (if applicable)- submitted to NRP

• IRB Submission- Goal March 2014

• Recruitment / Data Collection- Goal July 2014

• Data Analysis- July 2015

• Abstract Presentation- October 2015

• Manuscript Preparation- December 2015

International Network for Simulation-based Pediatric Innovation, Research and Education

Timeline

1. Incorporation of pre-training

2. Population of learners

3. Standardization of instruction

International Network for Simulation-based Pediatric Innovation, Research and Education

3 Questions to improve study

Name: Lindsay Johnston

Institution: Yale

E-mail, Phone:

lindsay.johnston@yale.edu

203-688-2320

International Network for Simulation-based Pediatric Innovation, Research and Education

Contact Information