Tracheal Intubation Coaching in NICUs



Status:Recruiting
Healthy:No
Age Range:22 - 70
Updated:1/31/2019
Start Date:January 1, 2018
End Date:July 2019
Contact:Hayley Buffman, MPH
Email:buffmanh@email.chop.edu
Phone:215-590-6772

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Improving Safety and Quality of Tracheal Intubations in Neonatal ICUs

The purpose of the study is to determine the efficacy of video coaching training for
neonatology attending providers on tracheal intubation procedural outcomes in neonatal ICUs.

Tracheal intubation (TI) is the most common life-saving intervention for resuscitation and
stabilization of critically ill neonates in Neonatal Intensive Care Units (NICUs).Recently,
video laryngoscopy (VL) has become available in neonatal clinical practice to allows trainees
and frontline providers to perform standard direct airway visualization (i.e., traditional
laryngoscopy) while the supervisor can simultaneously view a real-time video displaying what
the laryngoscopist is seeing. However, VL associated coaching during TI has not been
rigorously evaluated.The purpose of the study is to determine the efficacy of video coaching
training for neonatology attending providers on tracheal intubation procedural outcomes in
neonatal ICUs. The primary objective of this study is to determine whether the video coaching
skill training for neonatology attendings reduces the occurrence of adverse tracheal
intubation associated events among all tracheal intubations in neonatal ICUs over 2 years
before and after intervention. The secondary objectives are to 1) determine if video coaching
training is feasible to all neonatology attending physicians using train the trainer approach
with a remote simulation and 2) determine if the video coaching skill competency among
neonatology attending physicians who completed the training using a remote simulation

Inclusion Criteria:

1. VL coach: Neonatology attending physician position at each neonatal ICU, or Senior
trainees who are anticipated to graduate within next 6 months to become neonatology
attending physicians.

2. VL coach receivers: Trainees (medical students, residents, fellows except those
graduating within next 6 months) and frontline providers (nurse practitioners,
hospitalists, physician assistants, respiratory therapists, others who perform
tracheal intubations under attending physicians' supervision)

Exclusion Criteria:
We found this trial at
9
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Montreal, Quebec
Principal Investigator: Ahmed Moussa, MD, MMEd, FRCPC, FAAP
Phone: 514-345-4931
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12605 East 16th Avenue
Aurora, Colorado 80045
720-848-0000
Principal Investigator: James Barrd, MD
Phone: 303-724-5000
University of Colorado Hospital, Site Top medical professionals, superior medicine and progressive change make University...
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500 University Drive
Hershey, Pennsylvania 17033
Principal Investigator: Kristen Glass, MD
Phone: 717-531-5687
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9300 Campus Point Drive
La Jolla, California 92037
Principal Investigator: Jae Kim, MD, PhD
Phone: 858-246-4777
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1 Medical Center Dr
Lebanon, New Hampshire 03756
 (603) 650-5000
Principal Investigator: Neetu Singh, MD, MPH
Phone: 603-646-6482
Dartmouth Hitchcock Medical Center Dartmouth-Hitchcock is a national leader in patient-centered health care and building...
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New Haven, Connecticut 06511
Principal Investigator: Lindsay Johnston, MD
Phone: 203-785-4688
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Raleigh, North Carolina 27610
Principal Investigator: Stephen D DeMeo, DO
Phone: 919-350-8795
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4800 Sand Point Way NE
Seattle, Washington 98105
(206) 987-2000
Principal Investigator: Taylor Sawyer, MD
Phone: 206-884-2910
Seattle Children's Hospital Seattle Children’s Hospital specializes in meeting the unique physical, emotional and developmental...
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1959 NE Pacific St
Seattle, Washington 98195
(206) 598-3300
Principal Investigator: Taylor Sawyer, MD
Phone: 206-884-2910
University of Washington Medical Center University of Washington Medical Center is one of the nation's...
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