Paediatric anaesthesia & critical care
Coaching inexperienced clinicians before a high stakes medical procedure: randomized clinical trial
Primary result · First attempt intubation successResult — go to the resultOR for first attempt success 2.42 95% CI 1.45–4.04Authors' conclusion
Just-in-time training among inexperienced clinicians led to increased first attempt success of infant intubation.
Study context
- Population
- Trainees (pediatric anesthesia fellows, residents, student registered nurse anesthetists) intubating infants aged ≤12 months, ASA I–III, at a quaternary children's hospital in Boston, MA, USA153 analysed
- Participants
- 172 participants
- Comparison
- Treatment vs Control
- Treatmentn = 70
- Controln = 83reference
- Primary endpoint
- First attempt success rate of intraoperative infant intubation
Methodological detailssingle-centre, parallel group, non-blinded, block randomised by training role
- Single-centre
- Parallel group
- Non-blinded
- Block randomised by training role
Primary result
First attempt intubation success
OR for first attempt success
2.42
95% CI 1.45–4.04
P = 0.001
Events by treatment group
Treatment vs Control
OR for first attempt success 2.42 (95% CI 1.45–4.04); P = 0.001
As reported in the abstract
Secondary outcomes
- Significantly decreased cognitive load and improved competency with the intervention
Safety
Complications
- Lower with the intervention than control, difference not significant
Original publication
Coaching inexperienced clinicians before a high stakes medical procedure: randomized clinical trial. BMJ. Published 16 December 2024. doi:10.
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