A tiny baby intubation team improves endotracheal intubation success rate but decreases residents’ training opportunities

Objective To assess the educational and clinical impact of a tiny baby intubation team (TBIT). Study design Retrospective study comparing endotracheal intubation (ETI) performed: pre-implementation of a TBIT (T1), 6 months post-implementation (T2), and 4 years post-implementation (T3). Results Post-...

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Veröffentlicht in:Journal of perinatology 2023-02, Vol.43 (2), p.215-219
Hauptverfasser: Gariépy-Assal, L., Janaillac, M., Ethier, G., Pennaforte, T., Lachance, C., Barrington, K. J., Moussa, A.
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Sprache:eng
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Zusammenfassung:Objective To assess the educational and clinical impact of a tiny baby intubation team (TBIT). Study design Retrospective study comparing endotracheal intubation (ETI) performed: pre-implementation of a TBIT (T1), 6 months post-implementation (T2), and 4 years post-implementation (T3). Results Post-implementation (T2), first-attempt success rate in tiny babies increased (44% T1; 59% T2, p  = 0.04; 56% T3, p  = NS) and the proportion of ETIs performed by residents decreased (53% T1; 37% T2, p  = 0.001; 45% T3, p  = NS). After an educational quality improvement intervention (prioritizing non-tiny baby ETIs to residents, systematic simulation training and ETI using videolaryngoscopy), in T3 residents’ overall (67% T1; 60% T2, p  = NS; 79% T3, p  = 0.02) and non-tiny baby ETI success rate improved (72% T1; 60% T2, p  = NS; 82% T3, p  = 0.02). Conclusion A TBIT improves success rate of ETIs in ELBW infants but decreases educational exposure of residents. Educational strategies may help maintain resident procedural competency without impacting on quality of care.
ISSN:0743-8346
1476-5543
1476-5543
DOI:10.1038/s41372-022-01546-8