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Published on: March 18, 2020
Neonatal videolaryngoscopy as a teaching aid: the trainees' perspective
Joyce E O'Shea1,2, Sandy Kirolos3, Marta Thio2,4
1Department of Neonatology, Royal Hospital for Children, Glasgow, UK joyce.o'shea@ggc.scot.nhs.uk.
Junior doctors found consistent guidance and a controlled environment improved neonatal intubation confidence. A shared videolaryngoscope view enhanced trainee learning experiences during neonatal intubation.
Area of Science:
- Neonatal medicine
- Medical education
- Clinical skills training
Background:
- Neonatal intubation is a difficult procedure for junior trainees.
- A randomized controlled trial (RCT) indicated improved intubation success when supervisors shared the videolaryngoscope view.
- Experienced neonatologists developed a structured teaching package for intubation.
Purpose of the Study:
- To assess trainee experiences with neonatal intubation attempts.
- To evaluate the impact of a structured teaching package and shared airway view on learning.
Main Methods:
- Trainees anonymously completed post-intubation questionnaires with Likert scales and free comments.
- Quantitative analysis used descriptive statistics.
- Qualitative analysis involved coding free comments for recurring themes.
Main Results:
- 36 trainees completed 206 questionnaires, reporting guidance as helpful and feedback as educational.
- Trainees felt more confident with calm, consistent guidance and controlled environments.
- Stressors included delivery room settings, unstable infants, and large audiences; consistent guidance was valued regardless of screen visibility.
Conclusions:
- Shared videolaryngoscope view was positively received.
- Controlling the setting, providing standardized guidance, and feedback enhanced trainee confidence and learning.
- A supportive and structured approach improves the neonatal intubation learning experience.
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