Trial reportJournal of perinatology : official journal of the California Perinatal Association2012
High-fidelity simulator technology may not be superior to traditional low-fidelity equipment for neonatal resuscitation training.
Trial report in Journal of perinatology : official journal of the California Perinatal Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 113 citations in OpenAlex.
- Standardised formal resuscitation training programmes for reducing mortality and morbidity in newborn infants.The Cochrane database of systematic reviews · 2026Pooled it
- Association between cortisol levels and performance in clinical simulation: a systematic review.Revista da Escola de Enfermagem da U S P · 2024Pooled it
- Educational efficacy of high-fidelity simulation in neonatal resuscitation training: a systematic review and meta-analysis.BMC medical education · 2019Pooled it
- Standardised formal resuscitation training programmes for reducing mortality and morbidity in newborn infants.The Cochrane database of systematic reviews · 2015Pooled it
- In situ simulation training for a better interprofessional team performance in transferring critically ill patients with COVID-19: a prospective randomised control trial.Postgraduate medical journal · 2022Trial
- Effect of training using high-versus low-fidelity simulator mannequins on neonatal intubation skills of pediatric residents: a randomized controlled trial.BMC medical education · 2022Trial
- High-fidelity is not superior to low-fidelity simulation but leads to overconfidence in medical students.BMC medical education · 2019Trial
- Effect of an audience on trainee stress and performance during simulated neonatal intubation: a randomized crossover trial.BMC medical education · 2018Trial
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- Low-cost versus high-fidelity pediatric simulators for difficult airway management training: a randomized study in continuing medical education.Brazilian journal of anesthesiology (Elsevier)Trial
- Gauging the Optimal Simulator Complexity for Learning Cleft Lip Repair: A Cost-Benefit Analysis.Plastic and reconstructive surgery. Global open · 2025Article
- Training and assessment of skills in neuraxial space access: a scoping review of educational approaches to lumbar puncture, epidural anaesthesia, and spinal anaesthesia.British journal of anaesthesia · 2025Article
- Introducing Low-Fidelity Simulation Teaching in the Early Years of Undergraduate Medical Training.Cureus · 2025Article
- Manikin physical realism for resuscitation education: A systematic review.Resuscitation plus · 2025Review
- Decision-making during training of a Swedish navy command and control team: a quantitative study of workload effects.Cognitive processing · 2025Article
- A Novel Multidimensional Fidelity Framework for Cardiac Surgery Simulation: A Thematic Literature Review.Advances in medical education and practice · 2025Review
- Medical Students' Confidence After "CardioSim": A Low-Fidelity, Peer Role-Play Simulation.Cureus · 2024Article
- A Randomized Controlled Simulation Trial of a Neonatal Resuscitation Digital Game Simulator for Labour and Delivery Room Staff.Children (Basel, Switzerland) · 2024Article
- Use of digital technologies for staff education and training programmes on newborn resuscitation and complication management: a scoping review.BMJ paediatrics open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDespite completing accredited resuscitation training, neonatal trainees often feel unprepared to deal with real-life clinical emergencies. High-fidelity simulator (HFS) technology offers the potential of recreating a realistic stressful clinical environment to aid training and evaluation. To date, there are limited data examining the physiological impact of this training modality in comparison to less costly alternatives. The objective of this study was to compare the effects of low-fidelity simulator (LFS) versus HFS technology on performance levels, objective and subjective measures of stress in neonatal trainees. STUDY
designSixteen neonatal fellows were invited to participate in a prospective randomized study. Subjects were divided into pairs and randomized to LFS or HFS for completion of scenario I. After an interval of 1 month, fellow teams crossed over to complete scenario II using the alternative simulator technology. Technical and non-technical skills were assessed using validated resuscitation scoring tools. Participants recorded subjective stress at sequential time points before and after each simulation. Buccal cortisol was measured at each corresponding time point and comparison between HFS and LFS groups was made.
resultThe mean overall resuscitation performance score was 75.8%±10, but there was no difference in performance between HFS and LFS groups. There was also no significant difference in non-technical skills performance between groups. Salivary cortisol increased over the duration of the simulated experience, but there were no differences between the two groups (P=0.001, two-way repeated measures analysis of variance). We also identified changes in subjective measures of stress (P<0.001, analysis of variance) over time, but again there were no differences between groups.
conclusionSimulated neonatal resuscitations induce a significant stress response in neonatal trainees; however, we were unable to identify any difference in stress measures between HFS and LFS. These data suggest that HFS technology offers no additional stress-inducing benefit.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.