Failure of pediatric and neonatal trainees to meet Canadian Neonatal Resuscitation Program standards for neonatal intubation
Failure of pediatric and neonatal trainees to meet Canadian Neonatal Resuscitation Program standards for neonatal intubation
复制标题
DOI：
10.1038/jp.2009.152
复制
发表时间：
2010-03-01
影响因子：
2.9
通讯作者：
Whyte, H.
中科院分区：
文献类型：
--
作者：
Bismilla, Z.;Finan, E.;Whyte, H.
目的：新生儿插管技能最初通过新生儿复苏计划 (NRP) 进行教授，然后通过进一步的实践临床培训进行补充。本研究的目的是比较经过 NRP 培训的个体成功完成新生儿插管的能力。研究设计：在先天高危 3 级围产期中心进行了一项前瞻性观察研究。参与者是研究生一年级和三年级的儿科住院医师、新生儿围产期医学专科住院医师和研究员，以及接受过早期 NRP 培训的新生儿重症监护病房 (NICU) 呼吸治疗师 (RT)。插管根据检查表和整体评估量表进行评分。记录每位患者插管尝试的特征。结果：对 50 例新生儿插管进行了评估，其中 73% 的尝试被认为是成功的。 RT 成功放置气管插管的比例较高（100%，P
Objective: Neonatal intubation skills are initially taught through the Neonatal Resuscitation Program (NRP) and thereafter complemented by further practical clinical training. The aim of this study is to compare the ability of NRP trained individuals to successfully complete a neonatal intubation.Study Design: A prospective observational study was performed at an inborn high-risk level 3 perinatal center. Participants were postgraduate years 1 and 3 pediatric residents, neonatal-perinatal medicine subspecialty residents and fellows, and neonatal intensive care unit (NICU) respiratory therapists (RTs) with earlier NRP training. Intubations were scored on a checklist as well as a global assessment scale. Characteristics of the intubation attempt were recorded for each patient.Result: Fifty neonatal intubations were assessed, of which 73% of the attempts were deemed successful. A higher proportion of endotracheal tubes were successfully placed by RTs (100%, P