Pediatr Crit Care Me
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Pediatr Crit Care Me · Feb 2015
Randomized Controlled Trial Multicenter StudyRetention of pediatric resuscitation performance after a simulation-based mastery learning session: a multicenter randomized trial.
Using simulation-based mastery learning, residents can be trained to achieve a predefined performance standard in resuscitation. After mastery is achieved, performance degradation occurs over time. Prior investigations have shown performance retention of 12-14 months following intensive simulation-based mastery learning sessions. We sought to investigate the duration of mastery-level resuscitation performance retention after a single 1- to 2-hour simulation-based mastery learning session. ⋯ Residents displayed significant improvements in resuscitation performance after a single simulation-based mastery learning session, but performance declined over time, with less than 60% retaining mastery-level performance at 6 months. Our results suggest that relatively frequent refresher training is needed after a single simulation-based mastery learning session. Additional research is needed to determine the duration of performance retention following any specific simulation-based mastery learning intervention.
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Pediatr Crit Care Me · Feb 2015
Randomized Controlled Trial Comparative StudyComparison Between Noninvasive Mechanical Ventilation and Standard Oxygen Therapy in Children Up to 3 Years Old With Respiratory Failure After Extubation: A Pilot Prospective Randomized Clinical Study.
The effectiveness of noninvasive positive-pressure ventilation in preventing reintubation due to respiratory failure in children remains uncertain. A pilot study was designed to evaluate the frequency of extubation failure, develop a randomization approach, and analyze the feasibility of a powered randomized trial to compare noninvasive positive-pressure ventilation and standard oxygen therapy post extubation for preventing reintubation within 48 hours in children with respiratory failure. ⋯ The study indicates that a larger randomized trial comparing noninvasive positive-pressure ventilation and standard oxygen therapy in children with respiratory failure is feasible, providing a basis for a future trial in this setting. No differences were seen between groups. The number of excluded patients was high.