Dr. Robyn Dvorsky
MedUni Wien RESEARCHER OF THE MONTH June 2024
Respiratory failure accounts for a large proportion of neonatal mortality, which highlights the importance of high-quality airway management. Feedback devices help to obtain accurate feedback while performing challenging medical interventions, but also support teaching and training to perfect and tailor individual techniques. In this study we aimed to determine the best educational application of a respiratory function monitor and a video laryngoscope in simulation-based training. Following a randomized-controlled approach, 167 medical students had to execute ventilation and intubation maneuvers on a newborn manikin. Participants were assigned to 3 groups. In group A the feedback devices were not visible but recording. In group B, the feedback devices were visible to the supervisor only. In group C both the participant and the supervisor had visual access. Overall, group C achieved superior ventilation quality regarding primary and secondary outcome measures. The number of intubation attempts until success was lowest in group C. Our findings indicate that direct visual access to feedback devices for supervisor and trainees alike considerably benefits performance within simulation-based education and training.
Selected Literature
- Dvorsky R, Rings F, Bibl K, Roessler L, Kumer L, Steinbauer P, Schwarz H, Ritschl V, Schmölzer GM, Berger A, Werther T, Wagner M. Real-Time Intubation and Ventilation Feedback: A Randomized Controlled Simulation Study. Pediatrics. 2023;151(5):e2022059839
- Schmölzer GM, Roehr CC. Use of respiratory function monitors during simulated neonatal resuscitation. Klin Padiatr. 2011;223(5):261–266
- van Zanten HA, Kuypers KLAM, van Zwet EW, et al. A multi-centre randomised controlled trial of respiratory function monitoring during stabilisation of very preterm infants at birth. Resuscitation. 2021;167:317–325
- Medeiros SM de, Mangat A, Polglase GR, Sarrato GZ, Davis PG, Schmölzer GM. Respiratory function monitoring to improve the outcomes following neonatal resuscitation: a systematic review and meta-analysis. Arch Dis Child - Fetal Neonatal Ed. 2022;107(6):589–96.
- Kaji AH, Shover C, Lee J, et al. Video versus direct and augmented direct laryngoscopy in pediatric tracheal intubations. Acad Emerg Med. 2020; 27(5):394–402
- Koele-Schmidt L, Vasquez MM. NewB for newbies: a randomized control trial training housestaff to perform neonatal intubation with direct and videolaryngoscopy. Paediatr Anaesth. 2016;26(4):392–398
- Wagner M, Bibl K, Hrdliczka E, et al. Effects of Feedback on Chest Compression Quality: A Randomized Simulation Study. Pediatrics. 2019;143(2):20182441