Related Experiment Video
Updated: Aug 21, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Technical Assessment of Simulated Neonatal Intubation Using Multi-Angle Video
Hannah Gu1, Rodrigo B Galindo2, Matthew Cranshaw3
1University of California San Francisco, Division of Neonatology, California, United States, San Francisco.
Background:
Neonatal intubation is a critical skill, yet trainees may not achieve procedural competency before program completion. This study quantified technical differences between novice and expert intubators using multi-angle and intraoral video during simulated neonatal intubation.
Methods:
Participants from a level IV NICU-including MDs, NNPs, RNTS's, and residents-completed three intubations each on preterm and term manikins. Experts were defined as those with >10 successful intubations and >1 year of NICU experience. Outcomes included failure rate, time metrics, glottic view, and laryngoscope hold.
Results:
Thirty-eight subjects participated (18 novices, 20 experts). Intubation failure did not differ significantly, but experts completed term manikin intubations faster (12.5s vs. 15.8s, p<0.001), visualized cords sooner in preterm trials, and advanced the ETT faster in term trials. Glottic views were similar, though laryngoscope hold technique differed significantly (p=0.006).
Conclusion:
Objective technique differences may inform targeted training strategies and competency assessment in neonatal airway management.
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