Technical realization of a sensorized neonatal intubation skill trainer for operators’ retraining and a pilot study for its validation

Autor: Francesca Moscuzza, Davide Panizza, Antonio Boldrini, Selene Tognarelli, Massimiliano Ciantelli, Ilaria Baldoli, M. Gentile, Ilaria Vannozzi, Armando Cuttano, Rosa T. Scaramuzzo
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Trainer
medicine.medical_treatment
Endotracheal intubation
Pilot Projects
Manikins
Session (web analytics)
0302 clinical medicine
Neonatal
Intubation
030212 general & internal medicine
Airway Management
medicine.diagnostic_test
Debriefing
Statistics
Retraining
lcsh:RJ1-570
General Medicine
Intensive Care Units
Female
Clinical Competence
Neonatal intensive & critical care
Adult
medicine.medical_specialty
Health Personnel
Resuscitation
Laryngoscopy
education
Sampling Studies
Statistics
Nonparametric
03 medical and health sciences
Intensive Care Units
Neonatal
medicine
Intubation
Intratracheal
Medical Education & Training
Neonatology
Analysis of Variance
Humans
Infant
Newborn
Simulation Training
Nonparametric
Set (psychology)
business.industry
Research
Infant
030208 emergency & critical care medicine
lcsh:Pediatrics
Newborn
Intratracheal
Physical therapy
business
Zdroj: Italian Journal of Pediatrics
Italian Journal of Pediatrics, Vol 44, Iss 1, Pp 1-9 (2018)
ISSN: 1824-7288
Popis: Background In neonatal endotracheal intubation, excessive pressure on soft tissues during laryngoscopy can determine permanent injury. Low-fidelity skill trainers do not give valid feedback about this issue. This study describes the technical realization and validation of an active neonatal intubation skill trainer providing objective feedback. Methods We studied expert health professionals’ performances in neonatal intubation, underlining chance for procedure retraining. We identified the most critical points in epiglottis and dental arches and fixed commercial force sensors on chosen points on a ©Laerdal Neonatal Intubation Trainer. Our skill trainer was set up as a grade 3 on Cormack and Lehane’s scale, i.e. a model of difficult intubation. An associated software provided real time sound feedback if pressure during laryngoscopy exceeded an established threshold. Pressure data were recorded in a database, for subsequent analysis with non-parametric statistical tests. We organized our study in two intubation sessions (5 attempts each one) for everyone of our participants, held 24 h apart. Between the two sessions, a debriefing phase took place. In addition, we gave our participants two interview, one at the beginning and one at the end of the study, to get information about our subjects and to have feedback about our design. Results We obtained statistical significant differences between consecutive attempts, with evidence of learning trends. Pressure on critical points was significantly lower during the second session (p
Databáze: OpenAIRE
Externí odkaz: