Background and aims Endotracheal intubation is a mandatory skill for neonatal trainees. However, inexperienced trainees have success rates <50%. We compared intubations supervised by an instructor watching a videolaryngoscope screen with the traditional method where the instructor does not have this view.
Methods RCT (ANZCTR# 12613000159752) at The Royal Women’s Hospital, Melbourne. Eligible intubations were those performed orally, in infants without facial or airway anomalies, in the delivery room or in NICU, by trainees with <6 months experience. Intubations were randomised to videolaryngoscope screen visible to the instructor (intervention) or covered (control). Primary outcome was first attempt intubation success rate confirmed by colorimetric detection of expired CO2. A sample size of 206 provided 80% power to detect a 20% difference in success rates (50% vs. 70%).
Conclusions Intubation success rates of inexperienced doctors were significantly improved, OR 2.81 (95% CI 1.54–5.17), when the instructor was able to share their view on a videolaryngoscope screen.