Doglioni Nicoletta, Cavallin Francesco, Zanardo Vincenzo, Trevisanuto Daniele
Pediatric Department, Medical School, University of Padua, Azienda Ospedaliera Padova, Padua, Italy.
J Matern Fetal Neonatal Med. 2012 Aug;25(8):1302-4. doi: 10.3109/14767058.2011.632035. Epub 2011 Nov 17.
The experience in performing intubation procedures gained by a single operator has been previously reported for adult, but not for neonatal patients.
In order to evaluate the process of skill acquisition, we reviewed the first 150 neonatal tracheal intubations performed by a pediatric trainee.
For logbook purposes, a pediatric trainee prospectively recorded all neonatal tracheal intubation procedures that she performed during a 5-year training period.
During the study period, Nicoletta Doglioni performed for 152 intubation procedures. Of the 152 procedures, the author was successful on 120 (79%) occasions. Of these, 77 (64%) were performed on the first attempt, and 43 (36%) on the second attempt. Author successful intubation improved by the training year 1 (67%) to training year 2 (79%), 3 (77%), 4 (80%) and 5 (91%), respectively.
Intubation success rate progressively improved with training year experience. A recommended level of proficiency, defined as 90% of procedure success, was obtained after 100 attempts suggesting that a significant amount of experience is needed for obtaining proficiency in neonatal intubation.
此前已有关于单个操作者进行成人插管操作的经验报道，但新生儿患者的相关经验尚未见报道。
为了评估技能习得过程，我们回顾了一名儿科实习生进行的前150例新生儿气管插管操作。
为了记录日志，一名儿科实习生前瞻性地记录了她在5年培训期间进行的所有新生儿气管插管操作。
在研究期间，尼科letta·多格利奥尼进行了152例插管操作。在这152例操作中，作者成功了120例（79%）。其中，77例（64%）在首次尝试时成功，43例（36%）在第二次尝试时成功。作者的成功插管率分别从培训第1年的67%提高到培训第2年的79%、第3年的77%、第4年的80%和第5年的91%。
插管成功率随着培训年限的增加而逐步提高。在进行100次尝试后达到了推荐的熟练水平，即操作成功率为90%，这表明在新生儿插管方面获得熟练技能需要大量经验。
