Table 3 Comparison between the two training methods in the achieved skills for intubating a neonate at baseline, immediately after training and 6–9 months after
Baseline | Immediately after training | 6–9 months after training | |||||||
|---|---|---|---|---|---|---|---|---|---|
Low fidelity (N = 12) | High fidelity (N = 16) | P-value | Low fidelity (N = 12) | High fidelity (N = 16) | P-value | Low fidelity (N = 12) | High fidelity (N = 16) | P-value | |
Select appropriate size tube | 1 (8.3) | 3 (18.8) | 0.436 | 11 (91.7) | 16 (100) | 0.240 | 12 (100) | 12 (75) | 0.061 |
Ensures availability of all needed equipment | 0 | 0 | 12 (100) | 16(100) | 0.595 | 9 (75.0) | 9 (56) | 0.306 | |
Pre-oxygenate | 1 (8.3) | 1 (6.3) | 0.832 | 8 (6.7) | 7 (43.8) | 0.229 | 5 (41.7) | 10 (62.5) | 0.274 |
Position the head | 1 (8.3) | 0 | 0.240 | 6 (50.0) | 10 (62.5) | 0.508 | 6 (50.0) | 10 (62.5) | 0.508 |
Insertion of blade correctly using left hand | 5 (41) | 5 (31.3) | 0.569 | 7 (58.3) | 14 (87.5) | 0.078 | 9 (75.0) | 12 (75) | 1.000 |
Lifts handle forward | 3 (25) | 1 (6.3) | 0.161 | 4 (33.3) | 8 (50.0) | 0.378 | 8 (66.7) | 5 (31.3) | 0.063 |
Visualization of vocal cords | 2 (16.7) | 2 (12.5) | 0.755 | 7 (58.3) | 8 (50.0) | 0.662 | 10 (35.7) | 7 (43.8) | 0.034 |
Suction appropriately | 12 (100) | 16 (100) | NA | 8 (66.7) | 4 (25.0) | 0.027 | 5 (41.7) | 7 (43.8) | 0.912 |
Pass tube smoothly | 1 (8.3) | 1 (6.3) | 0.832 | 8 (66.7) | 8 (50.0) | 0.378 | 4 (33.3) | 5 (31.3) | 0.907 |
Check position of tube | 0 | 3 (18.3) | 0.112 | 7 (58.3) | 7 (43.8) | 0.445 | 3 (25.0) | 7 (43.8) | 0.306 |
Check placement by auscultation | 4 (33.3) | 5 (31.3) | 0.907 | 9 (75.0) | 13(81.3) | 0.690 | 5 (41.7) | 10(62.5) | 0.274 |
Successful intubation | 2 (16.7) | 2 (12.5) | 0.755 | 6 (50.0) | 7 (43.8) | 0.743 | 4 (33.3) | 9 (56.3) | 0.393 |
Overall score | 1.25 (0.5) | 1.2 (0.5) | 0.749 | 3.1 (1.2) | 2.8(0.9) | 0.407 | 3.3 (1.6) | 3.3(1.0) | 0.840 |
Duration of intubation (seconds) | 51.1(22.9) | 46.4(19.9) | 0.567 | 51.8 (48.6) | 34.6(19.3) | 0.205 | 36.2(13.1) | 42.8(14.8) | 0.229 |