{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:41:08Z","timestamp":1788910868077,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,10,17]],"date-time":"2018-10-17T00:00:00Z","timestamp":1539734400000},"content-version":"vor","delay-in-days":46,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Investigation"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Importance<\/jats:title><jats:p>Opportunities for pediatric residents to perform direct laryngoscopy and tracheal intubation (<jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content>) are few and the success rate is low.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We hypothesize that incorporation of video laryngoscope (McGrath <jats:styled-content style=\"fixed-case\">MAC<\/jats:styled-content>) into pediatric residents <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> simulation course will improve the simulated <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> success rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Residents were given 3 attempts at <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content>: (1) baseline using a conventional laryngoscope (<jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>); (2) using a video laryngoscope (<jats:styled-content style=\"fixed-case\">VL<\/jats:styled-content>); and (3) again using the <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>. Residents were given up to 120 seconds to complete each <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> attempt. Time to successful <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> was collected. Residents recorded their best view (larynx, epiglottis, vocal cords) with each <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> attempt.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prior to the intervention, 15\/17 (88.2%) and 16\/17 (94.1%) of the participants reported prior exposure to <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> as \u201cless than 10 total attempts\u201d in simulated and live patients respectively. Seventeen pediatric residents performed 51 <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> attempts (34 with a <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content> and 17 with the <jats:styled-content style=\"fixed-case\">VL<\/jats:styled-content>). Success rates for <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> are as follows: Baseline with <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content> 11\/17 (64.7%), <jats:styled-content style=\"fixed-case\">VL<\/jats:styled-content> 12\/17 (70.6%), and last attempt with <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content> 13\/17 (76.5%) (<jats:italic>P =<\/jats:italic> 0.15). Compared to the baseline, the use of <jats:styled-content style=\"fixed-case\">VL<\/jats:styled-content> resulted in a shorter but non\u2010significant decrease in time to successful <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> (Mean 34.2 sec [<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 22.0] vs. 56.5 sec [<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 40.2]; <jats:italic>P =<\/jats:italic> 0.08). Repeat attempts at <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content> with the <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>, however, were significantly shorter than baseline (Mean 20.3 sec [<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 12.8] vs. 56.5 sec [<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 40.2]; <jats:italic>P =<\/jats:italic> 0.003). Using the <jats:styled-content style=\"fixed-case\">VL<\/jats:styled-content>, more residents could visualize the vocal cords compared to the baseline (14\/17 [82.3%] vs. 9\/17 [52.9%]; <jats:italic>P =<\/jats:italic> 0.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Repeated training is certainly a way to improve successful <jats:styled-content style=\"fixed-case\">DLTI<\/jats:styled-content>. Use of <jats:styled-content style=\"fixed-case\">VL<\/jats:styled-content> as a new teaching method led to greater visualization of the vocal cords, shortening operating time and raising self\u2010confidence.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ped4.12056","type":"journal-article","created":{"date-parts":[[2018,10,18]],"date-time":"2018-10-18T03:30:42Z","timestamp":1539833442000},"page":"172-175","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Improving pediatric resident laryngoscopy training through the use of a video laryngoscope"],"prefix":"10.1002","volume":"2","author":[{"given":"Weerapong","family":"Lilitwat","sequence":"first","affiliation":[{"name":"Division of Pediatric Critical Care University of Iowa Hospitals and Clinics IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"McInnes","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care Jersey Shore University Medical Center NJ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jigar","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care Nemours\/Alfred I. duPont Hospital for Children Wilmington DE USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMvcm063574"},{"key":"e_1_2_6_3_1","first-page":"A128","article-title":"Who actually performs tracheal intubation in an academic pediatric intensive care unit?","volume":"35","author":"Nishisaki A","year":"2007","journal-title":"Crit Care Med"},{"key":"e_1_2_6_4_1","unstructured":"ACGME Common Program Requirements for Resident Duty Hours.2011;https:\/\/www.acgme.org\/acgmeweb\/Portals\/0\/PDFs\/dh-faqs2011.pdf. Accessed September 2014."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2005.04.007"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-10-00070.1"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31802c61d5"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen211"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2001.111516"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3182005ef0"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2009.03031.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200301000-00007"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31819a7f90"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2009.06061.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0b013e3283269ff4"},{"key":"e_1_2_6_16_1","first-page":"392","article-title":"The effect of simulation training on PALS skills among family medicine residents","volume":"43","author":"Gerard JM","year":"2011","journal-title":"Fam Med"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e3283464aaf"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2012.04268.x"}],"container-title":["Pediatric Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fped4.12056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ped4.12056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ped4.12056","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ped4.12056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T22:38:12Z","timestamp":1693953492000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ped4.12056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1002\/ped4.12056"],"URL":"https:\/\/doi.org\/10.1002\/ped4.12056","archive":["Portico"],"relation":{},"ISSN":["2574-2272","2574-2272"],"issn-type":[{"value":"2574-2272","type":"print"},{"value":"2574-2272","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9]]},"assertion":[{"value":"2018-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}