Journal
KOREAN JOURNAL OF ANESTHESIOLOGY
Volume 76, Issue 4, Pages 290-299Publisher
KOREAN SOC ANESTHESIOLOGISTS
DOI: 10.4097/kja.22582
Keywords
Airway management; Bronchoscopy; Child; Intratracheal intubation; Larynge-al masks; Learning curve
Categories
Ask authors/readers for more resources
This study trained anesthesiology residents in fiberoptic-guided endotracheal intubation using a pediatric manikin and evaluated their learning curves. All 30 participants acquired proficiency after practicing 8 to 25 times. In the actual clinical setting, the success rate of the technique was 92.8% with an average procedure time of 71.3 seconds.
Background: Although fiberoptic-guided endotracheal intubation using a supraglottic airway device (SAD) is a good alternative for the management of difficult airways, its learning curve for residents has not been evaluated in pediatric patients. We aimed to train residents using a pediatric manikin and obtain learning curves to evaluate the efficiency of the training.Methods: We conducted a single-armed prospective study with anesthesiology residents. Plain endotracheal tube (ETT) intubation guided by a fiberoptic bronchoscope through Ambu & REG; AuraGainTM was demonstrated in a pediatric manikin to the participants before training. The procedure was divided into four steps: SAD insertion, vocal cord identification, carina identification, and ETT insertion into the trachea. The results and elapsed procedure times of each trial were recorded. The learning curves for the participants were constructed and analyzed using the cumulative sum method. Results: All the 30 participants acquired proficiency at the end of practice between eight and 25 trials. The overall success rate for the procedure was 92.8%, and above 80% for all participants. Mean & PLUSMN; standard deviation procedure time was 71.3 & PLUSMN; 50.7 s. The 4th step accounted for 86.2% and 48.0% of the total failures and procedure time, respectively. The procedure time rapidly decreased in the 2nd trial; a modest decline was observed thereafter.Conclusions: Trainees can obtain proficiency for fiberoptic-guided intubation through SAD within 25 times when using pediatric manikin. Effect of the training on performance in actual clinical situation should be studied.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available