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Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy()
OBJECTIVE: To determine the effect of a training program using simulation-based mastery learning on the performance of residents in pediatric intubations with videolaryngoscopy. METHOD: Retrospective cohort study carried out in a tertiary pediatric hospital between July 2016 and June 2018 evaluating...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432116/ https://www.ncbi.nlm.nih.gov/pubmed/32156536 http://dx.doi.org/10.1016/j.jped.2019.12.007 |
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author | Couto, Thomaz Bittencourt Reis, Amélia G. Farhat, Sylvia C.L. Carvalho, Vitor E.L. Schvartsman, Claudio |
author_facet | Couto, Thomaz Bittencourt Reis, Amélia G. Farhat, Sylvia C.L. Carvalho, Vitor E.L. Schvartsman, Claudio |
author_sort | Couto, Thomaz Bittencourt |
collection | PubMed |
description | OBJECTIVE: To determine the effect of a training program using simulation-based mastery learning on the performance of residents in pediatric intubations with videolaryngoscopy. METHOD: 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 1 year of age during the study period were also recorded in clinical practice. RESULTS: 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 practice time than that initially allocated. The success rate in the first attempt at intubation in the emergency department with videolaryngoscopy was 77.8% (21/27). The rate of adverse events associated with intubations was 26% (7/27), representing a serious event. CONCLUSIONS: Simulation-based mastery learning increased residents’ skills related to intubation and allowed safe tracheal intubations with video laryngoscopy. |
format | Online Article Text |
id | pubmed-9432116 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94321162022-09-08 Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy() Couto, Thomaz Bittencourt Reis, Amélia G. Farhat, Sylvia C.L. Carvalho, Vitor E.L. Schvartsman, Claudio J Pediatr (Rio J) Original Article OBJECTIVE: To determine the effect of a training program using simulation-based mastery learning on the performance of residents in pediatric intubations with videolaryngoscopy. METHOD: 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 1 year of age during the study period were also recorded in clinical practice. RESULTS: 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 practice time than that initially allocated. The success rate in the first attempt at intubation in the emergency department with videolaryngoscopy was 77.8% (21/27). The rate of adverse events associated with intubations was 26% (7/27), representing a serious event. CONCLUSIONS: Simulation-based mastery learning increased residents’ skills related to intubation and allowed safe tracheal intubations with video laryngoscopy. Elsevier 2020-03-08 /pmc/articles/PMC9432116/ /pubmed/32156536 http://dx.doi.org/10.1016/j.jped.2019.12.007 Text en © 2020 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Couto, Thomaz Bittencourt Reis, Amélia G. Farhat, Sylvia C.L. Carvalho, Vitor E.L. Schvartsman, Claudio Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy() |
title | Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy() |
title_full | Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy() |
title_fullStr | Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy() |
title_full_unstemmed | Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy() |
title_short | Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy() |
title_sort | changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy() |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432116/ https://www.ncbi.nlm.nih.gov/pubmed/32156536 http://dx.doi.org/10.1016/j.jped.2019.12.007 |
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