Intubation training in neonatal patients: a review of one trainee's first 150 procedures.
BACKGROUND
The experience in performing intubation procedures gained by a single operator has been previously reported for adult, but not for neonatal patients.


OBJECTIVE
In order to evaluate the process of skill acquisition, we reviewed the first 150 neonatal tracheal intubations performed by a pediatric trainee.


METHODS
For logbook purposes, a pediatric trainee prospectively recorded all neonatal tracheal intubation procedures that she performed during a 5-year training period.


RESULTS
During the study period, Nicoletta Doglioni performed for 152 intubation procedures. Of the 152 procedures, the author was successful on 120 (79%) occasions. Of these, 77 (64%) were performed on the first attempt, and 43 (36%) on the second attempt. Author successful intubation improved by the training year 1 (67%) to training year 2 (79%), 3 (77%), 4 (80%) and 5 (91%), respectively.


CONCLUSIONS
Intubation success rate progressively improved with training year experience. A recommended level of proficiency, defined as 90% of procedure success, was obtained after 100 attempts suggesting that a significant amount of experience is needed for obtaining proficiency in neonatal intubation.
Pediatric Department, Medical School, University of Padua, Azienda Ospedaliera Padova, Padua, Italy.
Nicoletta
N
Doglioni
Francesco
F
Cavallin
Vincenzo
V
Zanardo
Daniele
D
Trevisanuto
D000328:Adult; D001724:Birth Weight / Q000502:physiology; D002983:Clinical Competence / Q000592:standards / Q000706:statistics & numerical data; D004501:Education, Medical / Q000592:standards / Q000706:statistics & numerical data; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007318:Inservice Training / Q000592:standards; D015931:Intensive Care, Neonatal / Q000592:standards; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000379:methods / Q000592:standards; D059032:Learning Curve; D009359:Neonatology / Q000193:education*; D012127:Respiratory Distress Syndrome, Newborn / Q000453:epidemiology / Q000628:therapy*; D012151:Resuscitation / Q000193:education / Q000379:methods / Q000592:standards; D012189:Retrospective Studies; D016896:Treatment Outcome