PMID- 34976504 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220902 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 13 IP - 11 DP - 2021 Nov TI - Emergency Pediatric Intubations in an Urban Children's Hospital Before and After Just-in-Time Training for Video Laryngoscopy. PG - e19892 LID - 10.7759/cureus.19892 [doi] LID - e19892 AB - OBJECTIVES: The use of video laryngoscopy (VL) may augment emergency pediatric intubations outside the operating room (OR). Our objective was to describe the proportion of use and complications with VL before and after implementation of a VL just-in-time training (JITT). STUDY DESIGN: This study was a retrospective chart review of pediatric intubations performed outside the OR at a single women and children's hospital from January 2015 to March 2020. Data were collected on patient age, intubation method, operator characteristics, adverse events, number of attempts, condition leading to intubation, and hospital location. Data were separated into pre-JITT (January 1, 2015 to April 31, 2018) and post-JITT (May 1, 2018 to March 1, 2020) periods. Descriptive statistics were used comparing pre- and post-JITT periods for VL use, and the complications of intubations with multiple attempts (IMAs) and intubations with one or more adverse events (AEs). RESULTS: A total of 231 pediatric patients were intubated during the study period; 154 intubations in the pre-JITT and 77 intubations in the post-JITT periods. Pre- and post-JITT VL use was 17 (11%) and 17 (22%), respectively. With pre-JITT VL, there were four (23%) IMAs and zero (0%) intubation with one or more AE. With post-JITT VL, there were eight (47%) IMAs and one (6%) intubation with one or more AE. CONCLUSION: The proportion of emergency pediatric intubations using VL increased after the institution of a JITT. There was no significant change in IMAs and AEs. The infrequency of pediatric intubations makes drawing conclusions regarding the impact on IMAs and AEs challenging. JITT may increase VL use for emergency pediatric intubations outside the OR and may be considered for refresher training, especially during the coronavirus disease 2019 (COVID-19) pandemic. CI - Copyright (c) 2021, Lum et al. FAU - Lum, Evan AU - Lum E AD - Pediatrics, University of Hawai'i, John A. Burns School of Medicine, Honolulu, USA. FAU - Sommer-Candelario, Sherri AU - Sommer-Candelario S AD - Pediatric Transport, Kapi'olani Medical Center for Women & Children, Honolulu, USA. FAU - Choi, So Yung AU - Choi SY AD - Quantitative Health Sciences, University of Hawai'i, John A. Burns School of Medicine, Honolulu, USA. FAU - Delos Santos, Stephanie AU - Delos Santos S AD - Pediatric Transport, Kapi'olani Medical Center for Women & Children, Honolulu, USA. FAU - Aeby, Kagen AU - Aeby K AD - Pediatrics, University of Hawai'i, John A. Burns School of Medicine, Honolulu, USA. FAU - Lee-Jayaram, Jannet AU - Lee-Jayaram J AD - Pediatrics, University of Hawai'i, John A. Burns School of Medicine, Honolulu, USA. AD - Pediatrics, Kapi'olani Medical Center for Women & Children, Honolulu, USA. LA - eng GR - U54 MD007601/MD/NIMHD NIH HHS/United States PT - Journal Article DEP - 20211125 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC8712208 OTO - NOTNLM OT - healthcare simulation OT - just-in-time training OT - laryngoscopy OT - pediatric intubation OT - videolaryngoscopy COIS- The authors have declared that no competing interests exist. EDAT- 2022/01/04 06:00 MHDA- 2022/01/04 06:01 PMCR- 2021/11/25 CRDT- 2022/01/03 05:44 PHST- 2021/11/25 00:00 [accepted] PHST- 2022/01/03 05:44 [entrez] PHST- 2022/01/04 06:00 [pubmed] PHST- 2022/01/04 06:01 [medline] PHST- 2021/11/25 00:00 [pmc-release] AID - 10.7759/cureus.19892 [doi] PST - epublish SO - Cureus. 2021 Nov 25;13(11):e19892. doi: 10.7759/cureus.19892. eCollection 2021 Nov.