Evidence map›Paper›PMID 33403319›Full record

ArticlePediatric quality & safety

Simulation to Train Pediatric ICU Teams in Endotracheal Intubation of Patients with COVID-19.

Shilpa C Balikai, Aditya Badheka, Andrea Casey, Eric Endahl, Jennifer Erdahl, Lindsay Fayram, Amanda Houston, Paula Levett, Howard Seigel, Niranjan Vijayakumar and 1 more

Abstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Shilpa C BalikaiDivision of Pediatric Critical Care, Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa; and.
Aditya BadhekaDivision of Pediatric Critical Care, Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa; and.
Andrea CaseyPediatric Intensive Care Unit, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa.
Eric EndahlPediatric Intensive Care Unit, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa.
Jennifer ErdahlPediatric Intensive Care Unit, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa.
Lindsay FayramPediatric Intensive Care Unit, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa.
Amanda HoustonPediatric Intensive Care Unit, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa.
Paula LevettPediatric Intensive Care Unit, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa.
Howard SeigelPediatric Intensive Care Unit, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa.
Niranjan VijayakumarDivision of Pediatric Critical Care, Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa; and.
Christina L CifraDivision of Pediatric Critical Care, Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa; and.

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
NCATS NIH HHS UL1 TR002537
6 · The paper itself

Abstract

To prevent transmission of severe acute respiratory syndrome coronavirus 2 to healthcare workers, we must quickly implement workflow modifications in the pediatric intensive care unit (PICU). Our objective was to rapidly train interdisciplinary PICU teams to safely perform endotracheal intubations in children with suspected or confirmed coronavirus disease 2019 using a structured simulation education program.

methodsWe conducted a quality improvement study in a tertiary referral PICU. After developing stakeholder-driven guidelines for modified intubation in this population, we implemented a structured simulation program to train PICU physicians, nurses, and respiratory therapists. We directly observed PICU teams' adherence to the modified intubation process before and after simulation sessions and compared participants' confidence using the Simulation Effectiveness Tool-Modified (SET-M, Likert scale range 0: do not agree to 2: strongly agree regarding statements of confidence).

resultsFifty unique PICU staff members participated in 9 simulation sessions. Observed intubation performance improved, with teams executing a mean of 7.3-8.4 out of 9 recommended practices between simulation attempts (

conclusionPICU teams' performance and confidence in safely executing a modified endotracheal intubation process for children with suspected or confirmed SARS-CoV-2 infection improved using a rapidly deployed structured simulation education program.

Identifiers

PMID33403319
PMCPMC7774993

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.