Simulation for Neonatal Endotracheal Intubation Training: How Different Is It From Clinical Practice?

Area of Science:

• Medical Education
• Neonatal Medicine
• Simulation Technology

Background:

• Neonatal endotracheal intubation is a critical skill that is challenging for trainees to master.
• Simulation-based training (SBT) is utilized, but trainees often prefer clinical experience.
• Existing SBT may not adequately prepare learners for real-world neonatal intubation.

Purpose of the Study:

• To explore the differences between SBT and clinical practice in neonatal intubation skill acquisition.
• To inform improvements in mannequin design and simulation fidelity.
• To enhance the effectiveness of training for neonatal medicine fellows.

Main Methods:

• A basic qualitative study design was employed.
• Semistructured interviews were conducted with neonatal-perinatal medicine fellows and their instructors.
• An inductive approach was used to analyze participant experiences comparing SBT and clinical practice.

Main Results:

• Participants reported that simulation-based training (SBT) does not equate to real clinical experience.
• Simulators lack the realistic look, feel, and function of actual patient airways and the clinical environment.
• The chaotic atmosphere and heightened emotions of the clinical setting were not replicated in SBT.

Conclusions:

• Current simulation-based training (SBT) inadequately prepares fellows for neonatal intubation.
• Future mannequins should incorporate advanced features like varied airway configurations, realistic textures, and secretions.
• Creating more realistic training environments that mimic clinical stressors is crucial for better preparation.