Jornal de Pediatria

Jornal de Pediatria

Volume 97, Issue 1, January–February 2021, Pages 30-36
Jornal de Pediatria

Original article
Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy

https://doi.org/10.1016/j.jped.2019.12.007Get rights and content
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Abstract

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.

Keywords

Simulation training
Intratracheal intubation
Emergency medicine
Laryngoscopy
Pediatrics

Cited by (0)

Please cite this article as: Couto TB, Reis AG, Farhat SC, Carvalho VE, Schvartsman C, et al. Changing the view: impact of simulation-based mastery learning in pediatric tracheal intubation with videolaryngoscopy. J Pediatr (Rio J). 2021;97:30–6.