AUTHOR=Wolf Monika , Seiler Berenike , Vogelsang Valentina , Sydney Hopf Luke , Moll-Koshrawi Parisa , Vettorazzi Eik , Ebenebe Chinedu Ulrich , Singer Dominique , Deindl Philipp 

TITLE=Teaching fiberoptic-assisted tracheoscopy in very low birth weight infants: A randomized controlled simulator study

JOURNAL=Frontiers in Pediatrics

VOLUME=10

YEAR=2022

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.956920

DOI=10.3389/fped.2022.956920

ISSN=2296-2360

ABSTRACT=<sec><title>Objective</title><p>We developed a fiberoptic-assisted tracheoscopy (FAST) method to avoid direct laryngoscopy during surfactant replacement therapy and compared two training approaches on a very low birth weight (VLBW) infant simulator.</p></sec><sec><title>Design</title><p>This prospective randomized controlled study was conducted at the Department of Neonatology and Pediatric Intensive Care Medicine of the University Medical Center Hamburg-Eppendorf, Germany.</p></sec><sec><title>Participants</title><p>We recruited physicians, trainees, students, and nurses without prior experience in endoscopic techniques.</p></sec><sec><title>Interventions</title><p>Participants were assigned randomly to a group that received instructions according to Peyton’s Four-Step Approach and a control group that received standard bedside teaching only.</p></sec><sec><title>Main outcome measures</title><p>Primary endpoints were the total and the component times required to place the bronchoscope and the method success.</p></sec><sec><title>Results</title><p>We recruited 186 participants. Compared with the control group, the Peyton group had a lower mean (±standard deviation) FAST completion time (33.2 ± 27.5 s vs. 79.5 ± 47.9 s, <italic>p</italic> &lt; 0.001; <italic>d</italic> = 1.12) and a higher FAST success rate (95% vs. 84%, <italic>p</italic> = 0.036, <italic>V</italic> = 0.18).</p></sec><sec><title>Conclusion</title><p>After standardized training, the vast majority of novices completed FAST successfully. Peyton’s four-step approach resulted in faster and more successful performance than standardized training.</p></sec>