一项随机对照试验：在直接喉镜检查中使用视频进行指导是否能提高住院医师新生儿插管的成功率？
A randomized controlled trial: does coaching using video during direct laryngoscopy improve residents' success in neonatal intubations?
机构信息
Providence Alaska Medical Center, Anchorage, AK, USA.
University of Rochester Medical Center, Rochester, NY, USA.
出版信息
J Perinatol. 2018 Aug;38(8):1074-1080. doi: 10.1038/s41372-018-0134-7. Epub 2018 May 25.
OBJECTIVE
To evaluate the intubation success rates of residents who receive coaching from supervisors concurrently viewing infants' airways via video during direct laryngoscopy (VDL), as compared with coaching during traditional direct laryngoscopy without video (TDL).
STUDY DESIGN
In a randomized controlled trial, 48 first and second-year residents performed neonatal intubations using VDL or TDL. The primary outcome was intubation success rates. Data were analyzed using the Pearson X and Student's t-test.
RESULTS
The overall intubation success rate was greater in the VDL vs. TDL group (57% vs. 33%, P < 0.05). First-year residents and residents intubating their first patient had higher intubation success rates in the VDL vs. TDL group (58% vs. 23% and 50% vs. 17%, respectively, P < 0.05).
CONCLUSIONS
Resident coaching using VDL improved neonatal intubation success rates. Incorporating VDL as a coaching tool can optimize the quality of training during limited opportunities to achieve procedural competency and improve intubation-related patient outcomes.
目的
评估在直接喉镜检查（VDL）期间，通过视频同时观察婴儿气道的主管对住院医师进行指导与传统无视频直接喉镜检查（TDL）下指导相比，其插管成功率的差异。
研究设计
在一项随机对照试验中，48 名第一和第二年住院医师使用 VDL 或 TDL 进行新生儿插管。主要结局指标为插管成功率。使用 Pearson X 和 Student t 检验对数据进行分析。
结果
VDL 组的整体插管成功率高于 TDL 组（57% vs. 33%，P < 0.05）。第一年住院医师和首次插管的住院医师在 VDL 组的插管成功率高于 TDL 组（58% vs. 23%和 50% vs. 17%，P < 0.05）。
结论
使用 VDL 对住院医师进行指导可提高新生儿插管成功率。将 VDL 纳入指导工具可以优化有限机会下的培训质量，以实现程序能力，并改善与插管相关的患者结局。
Zotero 插件