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ALERT Presentation: Comparison of   ETT/UVC vs. LMA/IO in NRP   Bobbi J. Byrne, MD and Elizabeth A. Wetzel, MD        Indi...
Background • The Neonatal Resuscitation Program (NRP)  has traditionally taught intubation and  emergency umbilical venous...
PICO Question• P: Healthcare providers that perform intubation and emergency UVC  placement• I: LMA and IO procedures taug...
Approach / DesignTarget population: Healthcare providers that may need to perform airway management and                   ...
3 Questions to improve study1. We have utilized the NRP procedure checklist when   observing the simulation scenario, shou...
Contact Information Bobbi J. Byrne, MD Indiana University School of Medicine bjbyrne@iupui.edu 317-274-4716 http://medicin...
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Comparison of Endotracheal Intubation / Umbilical Venous Catheter vs. Laryngeal Mask Airway / Intraosseous Needle in NRP

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Dr. Elizabeth Wetzel (Indiana University)

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Comparison of Endotracheal Intubation / Umbilical Venous Catheter vs. Laryngeal Mask Airway / Intraosseous Needle in NRP

  1. 1. ALERT Presentation: Comparison of ETT/UVC vs. LMA/IO in NRP Bobbi J. Byrne, MD and Elizabeth A. Wetzel, MD Indiana University School of Medicine IMSH 2013: Orlando, Florida / USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. Background • The Neonatal Resuscitation Program (NRP) has traditionally taught intubation and emergency umbilical venous catheterization in delivery room crisis situations. These skills can be technically challenging for providers who do not often use them. International Network for Simulation-based Pediatric Innovation, Research and Education
  3. 3. PICO Question• P: Healthcare providers that perform intubation and emergency UVC placement• I: LMA and IO procedures taught as alternatives for airway management and vascular access in a simulated delivery room scenarios.• C: compared to ETT with UVC placement.• O: take less time to perform and have a higher success rate “In healthcare providers that perform intubation and emergency UVC placement would LMA and IO procedures taught as alternatives for airway management and vascular access in a simulated delivery room scenario take less time to perform and have higher success rates compared to ETT/UVC?” International Network for Simulation-based Pediatric Innovation, Research and Education
  4. 4. Approach / DesignTarget population: Healthcare providers that may need to perform airway management and emergency vascular access in the delivery room Healthcare providers Participation in standardized skills stations with separate videos and hands on practice with facilitator led instruction for intubation, UVC placement, LMA placement and IO placement Participants are randomized into two groups (either ETT with UVC or LMA with IO placement) ETT with UVC LMA with IO placement placement Participation in a standardized Participation in a standardized simulated delivery room scenario simulated delivery room scenario of a neonatal placental abruption of a neonatal placental abruption International Network for Simulation-based Pediatric Innovation, Research and Education
  5. 5. 3 Questions to improve study1. We have utilized the NRP procedure checklist when observing the simulation scenario, should a mastery skills checklist be incorporated into the skills stations?2. We are currently using standardized scripts for our facilitators in the skills station and scenario, do we need to develop a structured train-the-trainer module?3. As we expand the study to more skilled providers should any aspects of the study change? International Network for Simulation-based Pediatric Innovation, Research and Education
  6. 6. Contact Information Bobbi J. Byrne, MD Indiana University School of Medicine bjbyrne@iupui.edu 317-274-4716 http://medicine.iu.edu International Network for Simulation-based Pediatric Innovation, Research and Education

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