Pediatric emergency care
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Pediatric emergency care · May 2011
Randomized Controlled Trial Comparative StudyA randomized comparison of the GlideScope videolaryngoscope to the standard laryngoscopy for intubation by pediatric residents in simulated easy and difficult infant airway scenarios.
Videolaryngoscopy has been developed mainly to assist difficult airway intubation. However, there is a lack of studies demonstrating the real efficacy of its use in children. In this study, we tested the hypothesis that GlideScope (Verathon Inc, Bothell, Wash) videolaryngoscope improves tracheal intubation when used by pediatric residents in an advanced patient simulation model. ⋯ In simulated scenarios of infant NA and difficult airway, when used by pediatric residents, GlideScope did not improve intubation performance when compared with the standard laryngoscope. Nevertheless, GlideScope may be safer for upper jaw injury and could have advantages in the management of complicated airway. Further studies are needed to assess if specific training will improve GlideScope intubation performance and whether the "in simulator" results translate into clinical practice.
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Pediatric emergency care · May 2011
Randomized Controlled Trial Comparative StudyCost-efficiency assessment of 3 different pediatric first-aid training models for caregivers and teachers in Shanghai.
The object of this study was to assess, in cost-effective measures, 3 different models for pediatric first-aid training among caregivers and teachers. ⋯ Although interactive training model may slightly increase the rate of trainees who passed the course, the cost-effectiveness of video instruction training model is clearly superior.