Trial reportBMC medical education2018
Effect of an audience on trainee stress and performance during simulated neonatal intubation: a randomized crossover trial.
Trial report in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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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
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between cortisol levels and performance in clinical simulation: a systematic review.Revista da Escola de Enfermagem da U S P · 2024Pooled it
- Knowledge Gain and the Impact of Stress in a Fully Immersive Virtual Reality-Based Medical Emergencies Training With Automated Feedback: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Neonatal endotracheal intubation: development of a comprehensive educational program for procedural skills.Pediatric research · 2026Review
- Simulation Platforms to Train and Assess Pediatric Acute Care Procedural Skills: A Scoping Review.AEM education and training · 2025Article
- A scoping review of emotions and related constructs in simulation-based education research articles.Advances in simulation (London, England) · 2023Article
- Associations between family presence and neonatal intubation outcomes: a report from the National Emergency Airway Registry for Neonates: NEAR4NEOS.Archives of disease in childhood. Fetal and neonatal edition · 2021Article
- Stress as tool or toxin: physiologic markers and subjective report in neonatal simulation.Pediatric research · 2020Article
- Simulation in Neonatal Resuscitation.Frontiers in pediatrics · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNeonatal intubation is a stressful procedure taught to trainees. This procedure can attract additional observers. The impact of observers on neonatal intubation performance by trainees has not been studied. Our objective was to evaluate if additional observers present during neonatal mannequin endotracheal intubation (NMEI) by junior trainees, affects their performance and their stress levels.
methodsA randomized cross over trial was conducted. First year residents with no experience in neonatal intubation were assigned to NMEI condition A or B randomly on day 1. Subjects were crossed over to the other condition on day 2. Condition A: Only one audience member was present Condition B: Presence of an audience of 5 health care providers. Differences in the time to successful NMEI was recorded and compared between conditions. A portable heart rate monitor was used to measure peak heart rate above baseline during NMEI under both conditions.
resultsForty nine residents were recruited. 72% were female with a median age of 25 years (IQR: 24-27). Time to successful intubation was comparable under both conditions with a mean difference of - 3.94 s (95% CI: -8.2,0.4). Peak heart rate was significantly lower under condition A (mean difference - 11.9 beats/min, 95% CI -15.98 to - 7.78).
conclusionAlthough the time required to NMEI did not increase, our results suggest that presence of observers significantly increases trainee stress. The addition of extraneous observers during simulation training may better equip residents to deal with such stressors.
trial registrationDate of registration: March 2016, NCT 02726724 .
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