Endotracheal intubation training to medical practitioners: Comparison of the modified 4-step Payton's training method and Halsted's training method in a simulated environment

Zamani, Majid; Nasr-Esfahani, Mohammad; Forghani, Mostafa; Sichani, Mohammadreza Asadollahian; Omid, Athar

doi:10.4103/jehp.jehp_705_19

Cited by 7 publications

(19 citation statements)

References 18 publications

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“…For the important educational outcome of skill performance from end-of-course up to 3 months, (Table 30) we found 13 studies. 423,424,426,427,429-431,433-438 Eleven studies did not find differences for the primary outcomes, 423,424,427,429-431,433-437 but 2 studies found an advantage of 4 steps over 2 steps. 426,438…”

Section: Education Implementation and Teamsmentioning

confidence: 94%

“…Three studies addressed the important educational outcome of participants' preference of teaching method (Table 32). 423,424,438 One study reported advantages for 4 steps compared with 2 steps 438 ; in another study, no difference was found. 424 Another study provided comments made by students.…”

Section: Consensus On Sciencementioning

confidence: 99%

“…This SysRev included 16 studies, of which 13 were RCTs [423][424][425][426][427][428][429][430][431][432][433][434][435] and 3 were non-RCTs. [436][437][438] All studies showed a high degree of heterogeneity with respect to skills and populations taught, skill complexity, studentto-instructor ratios, and alternatives that were tested against the classic 4-step approach. Therefore, no metaanalyses could be performed.…”

Section: Consensus On Sciencementioning

confidence: 99%

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2023 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Berg,

Bray,

et al. 2023

Circulation

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The International Liaison Committee on Resuscitation engages in a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation and first aid science. Draft Consensus on Science With Treatment Recommendations are posted online throughout the year, and this annual summary provides more concise versions of the final Consensus on Science With Treatment Recommendations from all task forces for the year. Topics addressed by systematic reviews this year include resuscitation of cardiac arrest from drowning, extracorporeal cardiopulmonary resuscitation for adults and children, calcium during cardiac arrest, double sequential defibrillation, neuroprognostication after cardiac arrest for adults and children, maintaining normal temperature after preterm birth, heart rate monitoring methods for diagnostics in neonates, detection of exhaled carbon dioxide in neonates, family presence during resuscitation of adults, and a stepwise approach to resuscitation skills training. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, using Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces list priority knowledge gaps for further research. Additional topics are addressed with scoping reviews and evidence updates.

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Section: Education Implementation and Teamsmentioning

confidence: 94%

Section: Consensus On Sciencementioning

confidence: 99%

Section: Consensus On Sciencementioning

confidence: 99%

See 1 more Smart Citation

2023 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Berg,

Bray,

et al. 2023

Circulation

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“…Além disso, outro estudo demonstrou que o método de 4 passos de Payton, que consistem em demonstração, desconstrução, compreensão e execução foi superior ao método padrão de aprendizagem (p<0,001) (Zamani et al, 2020). Embora médicos recém-formados ou estudantes cursando o internato referiram proporcionalmente mais conhecimentos referente as indicações de IOT (RP 1,31; IC 95% 0,94 -1,83), contraindicações de IOT (RP 1,43; 0,91 -2,24) e fisiologia da necessidade de hiperventilação antes da IOT (RP 1,19; IC 95% 0,96 -1,49) a diferença de conhecimento nestas questões não foi estatisticamente relevante (Tabela 3).…”

Section: Resultsunclassified

Conhecimento de acadêmicos de Medicina e recém-formados sobre intubação orotraqueal: um estudo transversal

Oliveira

Monteiro

Rauber

2021

RSD

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A Intubação Orotraqueal (IOT) é um procedimento indicado quando há necessidade do controle definitivo da via aérea. Como a IOT é realizada em situações de emergência, como em paradas cardíacas, existem poucas contraindicações ao procedimento, sendo uma das principais a transecção parcial de traqueia. A chance de sucesso na realização da IOT por estudantes de medicina aumenta em 9% a cada tentativa (OR 1.09; IC 95% 1.04 – 1.14) sendo necessárias no mínimo 17 tentativas de IOT para ter 90% de sucesso no procedimento. Dessa forma, o objetivo deste estudo transversal é avaliar o conhecimento de estudantes de medicina sobre intubação orotraqueal. Observou-se que mais do que 90% dos respondentes referiram ter conhecimento do por que é realizada IOT, contudo apenas 67,1% e 53,2% sabem as indicações e as contraindicações para realização de IOT, respectivamente. 92,4% dos participantes referiram ter conhecimento da classificação de Mallampati, contudo 82,3% relataram saber reconhecer uma via aérea difícil de intubar. Verificou-se que médicos recém-formados ou estudantes no internato referem ter mais conhecimento sobre o motivo que leva a realização da IOT (p=0,04), materiais necessários na IOT (p=0,04), classificação de Mallampati (p<0,01) e reconhecimento de via aérea difícil de intubar (p=0,04) na comparação com acadêmicos cursando ciclo básico ou clínico. Embora seja um estudo limitado por sua metodologia transversal, pode-se observar algumas lacunas no conhecimento, por exemplo apenas 59,5% dos participantes referiram saber as complicações que podem ser causadas pela IOT.

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“…Previous studies established links between monothematic courses and practical skills attainment [ 16 ] which requires physicians to perform quarterly CPR. Many different factors might influence students’ performance [ 15 , 17-19 ]. Clinical protocols in OHCA management are continually evolving.…”

mentioning

confidence: 99%

Journal of Preventive Medicine and Hygiene, Vol. 62 No. 1s1 (2021): Health Technology Assessment (HTA) sull’introduzione di coorti aggiuntive per la vaccinazione contro il meningococco con vaccini quadrivalenti coniugati in Italia

Boccalini

Panatto

Mennini

et al. 2021

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Endotracheal intubation training to medical practitioners: Comparison of the modified 4-step Payton's training method and Halsted's training method in a simulated environment

Cited by 7 publications

References 18 publications

Conhecimento de acadêmicos de Medicina e recém-formados sobre intubação orotraqueal: um estudo transversal

Journal of Preventive Medicine and Hygiene, Vol. 62 No. 1s1 (2021): Health Technology Assessment (HTA) sull’introduzione di coorti aggiuntive per la vaccinazione contro il meningococco con vaccini quadrivalenti coniugati in Italia

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