Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy.

Jornal de pediatria
Thomaz Bittencourt CoutoCláudio Schvartsman

Abstract

To determine the effect of a training program using simulation-based mastery learning on the performance of residents in pediatric intubations with videolaryngoscopy. Retrospective cohort study carried out in a tertiary pediatric hospital between July 2016 and June 2018 evaluating a database that included the performance of residents before and after training, as well as the outcome of tracheal intubations. A total of 59 pediatric residents were evaluated in the pre-training with a skills' checklist in the scenario with an intubation simulator; subsequently, they were trained individually using a simulator and deliberate practice in the department itself. After training, the residents were expected to have a minimum passing grade (90/100) in a simulated scenario. The success of the first attempted intubation, use of videolaryngoscopy, and complications in patients older than 1year of age during the study period were also recorded in clinical practice. Before training, the mean grade was 77.5/100 (SD 15.2), with only 23.7% (14/59) of residents reaching the minimum passing grade of 90/100. After training, 100% of the residents reached the grade, with an average of 94.9/100 (SD 3.2), p<0.01, with only 5.1% (3/59) needing more prac...Continue Reading

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Citations

Jul 4, 2020·Anesthesia and Analgesia·Thomas M Hemmerling, Cedrick Zaouter
Sep 15, 2020·Anesthesia and Analgesia·Thomas M Hemmerling, Cedrick Zaouter
Apr 1, 2021·Critical Care Explorations·Patrick A RossAnoopindar K Bhalla

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