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The Use of Simulation Training in Preparation for Neonatal and Infant Airway Emergencies

  • Megan GrayEmail author
  • Heather M. French
Chapter

Abstract

Airway management of the neonate and infant is an important part of standard delivery room and intensive care. As such, all pediatric providers working with this population need training and maintenance of proficiency in airway management skills to maximize care and minimize risk to these patients. Airway training programs require creative methods for teaching and maintaining these skills as practicing on actual patients poses significant safety risks. Alternative options for airway instruction include manikins, cadavers, animals, and virtual trainers. In addition to procedural training with airway models, effective training programs incorporate comprehensive clinical scenarios, team-based learning, nontechnical skills, and structured debriefings. Advanced programs also provide instruction on the management of infants with difficult and critical airways including alternative airways, oral and nasal intubation, and airway code drills.

Keywords

Neonate Simulation Education Infant Training Teamwork Intubation Bag Mask Ventilation Debriefing Teaching Critical airway Nontechnical skills Crisis resource management 

Abbreviations

AAR

After action review

ACGME

Accreditation Council for Graduate Medical Education

ANTS

Anesthesia nontechnical skills

BMV

Bag mask ventilation

CT

Computed tomography

DL

Direct laryngoscopy

ENT

Ear nose throat

EXIT

Ex utero intrapartum treatment

ICU

Intensive care unit

LMA

Laryngeal mask airway

NICU

Neonatal intensive care unit

NP

Nasopharyngeal

NRP

Neonatal resuscitation protocol

OP

Oropharyngeal

OR

Operating room

PPV

Positive pressure ventilation

SBML

Simulation-based mastery learning

TIAE

Tracheal intubation associated events

Supplementary material

Gray Video 30.1 (MOV 98,593 KB)

Gray Video 30.2 (MOV 48,748 KB)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Neonatology, The Children’s Hospital of PhiladelphiaThe Children’s Hospital of Philadelphia, University of Pennsylvania, Perelman School of MedicinePhiladelphiaUSA

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