High-fidelity simulation in neonatal resuscitation

INTRODUCTION: There are currently few studies describing the use of high-fidelity (hi-fi) simulation in teaching neonatal resuscitation. Traditionally, residents are certified in the neonatal resuscitation program (NRP) after successful completion of a multiple-choice written examination and demonstration of skills during a hands-on 'megacode'. In the present study, the use of a hi-fi simulation mannequin was compared with a standard plastic mannequin when teaching the megacode portion of the NRP. METHODS: In the present pilot study, 15 first-year residents were randomly assigned to demonstrate neonatal resuscitation knowledge, with either the hi-fi mannequin (SimBaby, Laerdal Medical Corporation, USA) or a traditional plastic mannequin (ALS Baby, Laerdal Medical Corporation, USA). A written evaluation was conducted before and after the intervention. Each pair of residents experienced the two scenarios. Video performance was then assessed and compared. RESULTS: Residents randomly assigned to the hi-fi mannequin rated the experience higher (31 +/- 3.3 versus 27 +/- 3.5; P = 0.026), and required less redirection from instructors during the megacode (scenario 1: 4.5 +/- 1.7 versus 15 +/- 6.9; P = 0.015 and scenario 2: 1.8 +/- 1.3 versus 9.3 +/- 2.5; P = 0.0009) than those who were randomly assigned to the plastic mannequin. Residents randomly assigned to the hi-fi mannequin did not have improved written scores or improved intubation times. CONCLUSIONS: The present pilot study demonstrated that a hi-fi mannequin can be used as part of an educational program, such as the NRP. The use of this technology in neonatal resuscitation training is well-received by learners and may provide a more realistic model for training. Further work is required to clarify its role in task performance and team training.