Effectiveness of Just-In-Time Training for Video Laryngoscopy in Emergency Pediatric Intubations

Abstract

During the SARS-CoV-2 pandemic, use of video laryngoscopy (VL) over direct laryngoscopy (DL) for intubation is recommended to minimize risk by increasing first attempt success and distance from the patient’s airway during this potentially aerosol-generating procedure (1). Additionally, VL may augment emergency pediatric intubations, particularly for providers with less experience (2). Training methods for skill development vary. Just-in-time training (JITT) is an on-the-job, directed training method involving short, step-by-step practice under instructor guidance. JITT decreases procedural skill decay for high-risk procedures and has demonstrated similar intubation times for VL and direct laryngoscopy in experienced providers (3). References: 1. Miller L, Luković E, Wagener G. Guiding airway management and personal protective equipment for COVID-19 intubation teams. Br J Anaesth. 2020;125(3):e288-e290. doi:10.1016/j.bja.2020.06.001 2. Baek MS, Han M, Huh JW, Lim CM, Koh Y, Hong SB. Video laryngoscopy versus direct laryngoscopy for first-attempt tracheal intubation in the general ward. Ann Intensive Care. 2018;8(1):83. Published 2018 Aug 13. doi:10.1186/s13613-018-0428-0 3. Branzetti JB, Adedipe AA, Gittinger MJ, et al. Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay. BMJ Qual Saf. 2017;26(11):881-891. doi:10.1136/bmjqs-2017-006656