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Teaching fiberoptic-assisted tracheoscopy in very low birth weight infants: A randomized controlled simulator study
Ist Teil von
Frontiers in pediatrics, 2022-09, Vol.10, p.956920-956920
Ort / Verlag
Frontiers Media S.A
Erscheinungsjahr
2022
Link zum Volltext
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Objective
We developed a fiberoptic-assisted tracheoscopy (FAST) method to avoid direct laryngoscopy during surfactant replacement therapy and compared two training approaches on a very low birth weight (VLBW) infant simulator.
Design
This prospective randomized controlled study was conducted at the Department of Neonatology and Pediatric Intensive Care Medicine of the University Medical Center Hamburg-Eppendorf, Germany.
Participants
We recruited physicians, trainees, students, and nurses without prior experience in endoscopic techniques.
Interventions
Participants were assigned randomly to a group that received instructions according to Peyton’s Four-Step Approach and a control group that received standard bedside teaching only.
Main outcome measures
Primary endpoints were the total and the component times required to place the bronchoscope and the method success.
Results
We recruited 186 participants. Compared with the control group, the Peyton group had a lower mean (±standard deviation) FAST completion time (33.2 ± 27.5 s vs. 79.5 ± 47.9 s,
p
< 0.001;
d
= 1.12) and a higher FAST success rate (95% vs. 84%,
p
= 0.036,
V
= 0.18).
Conclusion
After standardized training, the vast majority of novices completed FAST successfully. Peyton’s four-step approach resulted in faster and more successful performance than standardized training.