Remote videolaryngoscopy skills training for pre-hospital personnel

Videolaryngoscopy (VL) is a novel technology that can facilitate rapid acquisition of intubation skills with simultaneous teacher and learner visualization of laryngeal structures. Videolaryngoscopy improves laryngeal visualization, and improves intubation success in difficult airway management compared to standard direct laryngoscopy. First responders need enhanced airway management tools to improve intubation success rates in civilian pre-hospital and military battlefield settings. We evaluated feasibility and efficacy of a remote first responder videolaryngoscopy skills training paradigm using distance learning by VTC (256kb ISDN) with synchronous transmission of laryngoscopy images to a remotely located trainer. Airway visualization, intubation success rates, and intubation times documented feasibility and comparability of remote and face-to-face introductory familiarization and intubation training with the Storz-Berci videolaryngoscopy system. User acceptance was good. Remote training paradigms for advanced technology solutions such as videolaryngoscopy can accelerate the diffusion of life-saving new technologies, especially when there is limited access to specialized training. Videolaryngoscopy visualization and difficult airway intubation success rates were better than direct laryngoscopy.