Use of Video Laryngoscopy to Improve Intubation Success on Neo-pediatric Transport: a QI Initiative

Introduction We aimed to implement video laryngoscopy (VL) during neonatal and pediatric transports to improve first pass intubation success rates from a baseline period of Jan 2018- July 2019 to a post intervention period of May 2020-Apr 2021. Methods We implemented the Concurrent Media Access Control (C-MAC®) VL training with didactic sessions and simulation using task trainers. VL competency was demonstrated after successful simulated intubations and a written test score ≥80%. Intubations were video-recorded and used to provide feedback and create content for teaching. Results Table 1 shows characteristics and Table 2 outcomes. VL did not improve first pass intubation but did increase overall intubation success. VL made intubation easier among all 7 known difficult airway cases. Adverse events occurred in 2 (2.0%). User satisfaction with VL was high as shown in Figure 1. Conclusion We did not improve first pass intubation success but did increase overall intubation success. There was high user satisfaction and rare adverse events. To increase intubation success, our next change idea is to refine our VL training and increase simulation training.