1,721,036 research outputs found
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. Aim: 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. © 2012 Informa UK, Ltd
Morphology and Kinematics of Deformed Salt-Bearing Areas Investigated by Physical Modeling
Neonatal resuscitation of extremely low birthweight infants: A survey of practice in Italy
Delivery room management of extremely low birthweight infante (ELBWIs) has been little studied. A questionnaire was sent to the heads of the 86 Italian neonatal intensive care units provided with on site delivery. The practice of and approach to the resuscitation of ELBWIs were very different among the centres surveyed, reflecting a paucity of evidence and consequent uncertainty among clinicians
Laryngeal mask airway for the interhospital transport of neonates
Airway control during interhospital transport may present enormous management difficulties, even for experienced personnel. The laryngeal mask airway is an airway management device that has been established as a safe reliable tool in adult and pediatric practice. We describe 2 cases of successful interhospital transfer of infants with congenital airway malformations with the use of the laryngeal mask airway, and we review the literature. Copyright © 2005 by the American Academy of Pediatrics
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