A randomized controlled trial of a video-enhanced advanced airway curriculum for pediatric residents

Abstract

Purpose intervention group received a video-enhanced curriculum successfully Pediatric advanced airway management enhanced didactic curriculum including intubated faster (hazard ratio [95% is a low-frequency but critical procedure, deidentified intubation clips recorded confidence interval]: 1.65 [1.25, 2.19]). making it challenging for trainees to using a videolaryngoscope, followed by Video-enhanced curriculum participants learn. This study examined the impact simulation. The study assessed intubation also demonstrated decreased odds of a curriculum integrating prerecorded skills on simulated infant and pediatric of requiring multiple attempts and of videos of patient endotracheal airway scenarios of varying difficulty esophageal intubation. At three-month intubations on performance related to immediately after instruction and at follow-up, residents who received the simulated pediatric intubation. three months. video-enhanced curriculum remained Method faster at intubation (hazard ratio [95% Results The authors conducted a randomized confidence interval]: 1.93 [1.23, 3.02]). Forty-nine trainees completed the controlled educational trial for pediatric curriculum: 23 received the video-Conclusions residents between January 2015 and enhanced curriculum and 26 received Integrating videos of patient June 2016 at Boston Children’s Hospital. the standard curriculum. Median time intubations into an airway Investigators collecting data were blinded to successful intubation was 18.5 and management curriculum improved to the intervention. The control group 22 seconds in the video-enhanced participating pediatric residents’ received a standard didactic curriculum and standard groups, respectively. intubation performance on airway including still images, followed by Controlling for mannequin age and trainers with sustained improvement simulation on airway trainers. The difficulty, residents receiving the video-at three months.