Skip Navigation


BJA Advance Access originally published online on August 18, 2009
British Journal of Anaesthesia 2009 103(4):570-575; doi:10.1093/bja/aep221
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
103/4/570    most recent
aep221v1
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Bould, M. D.
Right arrow Articles by Naik, V. N.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bould, M. D.
Right arrow Articles by Naik, V. N.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


© The Author [2009]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org

Cognitive aid for neonatal resuscitation: a prospective single-blinded randomized controlled trial

M. D. Bould1,*, M. A. Hayter2, D. M. Campbell1,2, D. B. Chandra2, H. S. Joo2 and V. N. Naik2

1 The Hospital for Sick Children, University of Toronto, 555 University Avenue, Canada M5B 1W5.
2 St Michael's Hospital, University of Toronto, Canada M5B 1W5

* Corresponding author. E-mail: dylan.bould{at}utoronto.ca

Background: Retention of skills and knowledge after neonatal resuscitation courses (NRP) is known to be problematic. The use of cognitive aids is mandatory in industries such as aviation, to avoid dependence on memory when decision-making in critical situations. We aimed to prospectively investigate the effect of a cognitive aid on the performance of simulated neonatal resuscitation.

Methods: Thirty-two anaesthesia residents were recruited. The intervention group had a poster detailing the NRP algorithm and the control group did not. Video recordings of each of the performances were analysed using a previously validated checklist by a peer, an expert anaesthetist, and an expert neonatologist.

Results: The median (IQR) checklist score in the control group [18.2 (15.0–20.5)] was not significantly different from that in the intervention group [20.3 (18.3–21.3)] (P=0.08). When evaluated by the neonatologist, none of the subjects correctly performed all life-saving interventions necessary to pass the checklist. A minority of the intervention group used the cognitive aid frequently.

Conclusions: Retention of skills after NRP training is poor. The infrequent use of the cognitive aid may be the reason that it did not improve performance. Further research is required to investigate whether cognitive aids can be useful if their use is incorporated into the NRP training.

Keywords: anaesthesia, paediatric; education, junior staff; neonates


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.