University of Texas at Austin
This study evaluates whether simulation-based training improves pediatric emergency medicine providers' competence and confidence in bougie-assisted intubation for difficult pediatric airways. Because pediatric intubation is a high-risk, low-frequency procedure, simulation provides a safe environment for developing and assessing airway management skills. The study will assess providers' baseline experience and confidence, evaluate improvements following training, and examine confidence retention at six months.
Difficulty in pediatric airway management is associated with significant morbidity and mortality, including cardiac arrest and neurologic injury. Proficiency with airway management tools is essential for pediatric emergency medicine providers. The bougie, a flexible introducer used to facilitate endotracheal intubation, is widely used in adult airway management but has been less studied in pediatric populations. Due to ethical and practical limitations, there is limited opportunity to study airway interventions in pediatric patients using randomized designs. Simulation-based training provides…
Inclusion Criteria: * Pediatric Emergency Medicine, Pediatric Intensive Care Unit, and Anesthesiology providers at our institution Exclusion Criteria: * Providers not in the above specialties or not currently seeing patients at our institution. * Providers who are also simulation staff
Participants will receive a 5-minute educational lecture on bougie-assisted intubation, followed by 10 minutes of hands-on practice using a pediatric airway manikin. Participants will then complete two simulated difficult pediatric airway scenarios: (1) post-tonsillectomy bleeding with a bloody airway and (2) trauma with cervical spine immobilization. Using a randomized crossover design, participants will be assigned to the order in which they complete the scenarios. Each scenario will involve bougie-assisted intubation using a pediatric manikin and will be video-recorded to assess time to successful intubation. Participants will complete pre- and post-simulation surveys assessing confidence and comfort with bougie use, as well as a 6-month follow-up survey assessing confidence and self-reported clinical use.
Arctuva estimate
Actual pay is set by the research site.
Verify or correct the compensation shown for this listing.