Teaching residents pediatric fiberoptic intubation of the trachea

Traditional fiberscope with an eyepiece versus a video-assisted technique using a fiberscope with an integrated camera

Melissa Wheeler*, Andrew G. Roth, Richard Dsida, Bronwyn Rae, Roopa Seshadri, Christine L. Sullivan, Corri L. Heffner, Charles J. Coté

*Corresponding author for this work

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: The authors' hypothesis was that a video-assisted technique should speed resident skill acquisition for flexible fiberoptic oral tracheal intubation (FI) of pediatric patients because the attending anesthesiologist can provide targeted instruction when sharing the view of the airway as the resident attempts intubation. Methods: Twenty Clinical Anesthesia year 2 residents, novices in pediatric FI, were randomly assigned to either the traditional group (traditional eyepiece FI) or the video group (video-assisted FI). One of two attending anesthesiologists supervised each resident during FI of 15 healthy children, aged 1-6 yr. The time from mask removal to confirmation of endotracheal tube placement by end-tidal carbon dioxide detection was recorded. Intubation attempts were limited to 3 min; up to three attempts were allowed. The primary outcome measure, time to success or failure, was compared between groups. Failure rate and number of attempts were also compared between groups. Results: Three hundred patient intubations were attempted; eight failed. On average, the residents in the video group were faster, were three times more likely to successfully intubate at any given time during an attempt, and required fewer attempts per patient compared to those in the traditional group. Conclusions: The video system seems to be superior for teaching residents fiberoptic intubation in children.

Original languageEnglish (US)
Pages (from-to)842-846
Number of pages5
JournalAnesthesiology
Volume101
Issue number4
DOIs
StatePublished - Oct 1 2004

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Trachea
Intubation
Teaching
Pediatrics
Masks
Carbon Dioxide
Anesthesia
Outcome Assessment (Health Care)
Anesthesiologists

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Wheeler, Melissa ; Roth, Andrew G. ; Dsida, Richard ; Rae, Bronwyn ; Seshadri, Roopa ; Sullivan, Christine L. ; Heffner, Corri L. ; Coté, Charles J. / Teaching residents pediatric fiberoptic intubation of the trachea : Traditional fiberscope with an eyepiece versus a video-assisted technique using a fiberscope with an integrated camera. In: Anesthesiology. 2004 ; Vol. 101, No. 4. pp. 842-846.
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abstract = "Background: The authors' hypothesis was that a video-assisted technique should speed resident skill acquisition for flexible fiberoptic oral tracheal intubation (FI) of pediatric patients because the attending anesthesiologist can provide targeted instruction when sharing the view of the airway as the resident attempts intubation. Methods: Twenty Clinical Anesthesia year 2 residents, novices in pediatric FI, were randomly assigned to either the traditional group (traditional eyepiece FI) or the video group (video-assisted FI). One of two attending anesthesiologists supervised each resident during FI of 15 healthy children, aged 1-6 yr. The time from mask removal to confirmation of endotracheal tube placement by end-tidal carbon dioxide detection was recorded. Intubation attempts were limited to 3 min; up to three attempts were allowed. The primary outcome measure, time to success or failure, was compared between groups. Failure rate and number of attempts were also compared between groups. Results: Three hundred patient intubations were attempted; eight failed. On average, the residents in the video group were faster, were three times more likely to successfully intubate at any given time during an attempt, and required fewer attempts per patient compared to those in the traditional group. Conclusions: The video system seems to be superior for teaching residents fiberoptic intubation in children.",
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Teaching residents pediatric fiberoptic intubation of the trachea : Traditional fiberscope with an eyepiece versus a video-assisted technique using a fiberscope with an integrated camera. / Wheeler, Melissa; Roth, Andrew G.; Dsida, Richard; Rae, Bronwyn; Seshadri, Roopa; Sullivan, Christine L.; Heffner, Corri L.; Coté, Charles J.

In: Anesthesiology, Vol. 101, No. 4, 01.10.2004, p. 842-846.

Research output: Contribution to journalArticle

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T2 - Traditional fiberscope with an eyepiece versus a video-assisted technique using a fiberscope with an integrated camera

AU - Wheeler, Melissa

AU - Roth, Andrew G.

AU - Dsida, Richard

AU - Rae, Bronwyn

AU - Seshadri, Roopa

AU - Sullivan, Christine L.

AU - Heffner, Corri L.

AU - Coté, Charles J.

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N2 - Background: The authors' hypothesis was that a video-assisted technique should speed resident skill acquisition for flexible fiberoptic oral tracheal intubation (FI) of pediatric patients because the attending anesthesiologist can provide targeted instruction when sharing the view of the airway as the resident attempts intubation. Methods: Twenty Clinical Anesthesia year 2 residents, novices in pediatric FI, were randomly assigned to either the traditional group (traditional eyepiece FI) or the video group (video-assisted FI). One of two attending anesthesiologists supervised each resident during FI of 15 healthy children, aged 1-6 yr. The time from mask removal to confirmation of endotracheal tube placement by end-tidal carbon dioxide detection was recorded. Intubation attempts were limited to 3 min; up to three attempts were allowed. The primary outcome measure, time to success or failure, was compared between groups. Failure rate and number of attempts were also compared between groups. Results: Three hundred patient intubations were attempted; eight failed. On average, the residents in the video group were faster, were three times more likely to successfully intubate at any given time during an attempt, and required fewer attempts per patient compared to those in the traditional group. Conclusions: The video system seems to be superior for teaching residents fiberoptic intubation in children.

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