Abstract：
BACKGROUND: Neonatal resuscitation may require urgent umbilical venous catheter (UVC) placement. Complications can be observed with umbilical venous catheterization, especially in a stressful context. Inspired by the aeronautic environment, medical routine checklists, also called \"cognitive aids,\" secure the equipment and environment for the patients once they are admitted to the operating room. We hypothesized that reading a cognitive aid for UVC placement in the delivery room during neonatal resuscitation simulation scenarios can (a) improve the performance in reducing catheterization duration and (b) can limit complications.
METHODS: This was a prospective single-center randomized study. A total of 23 dyads for a simulation scenario were included: 12 in the control group and 11 in the cognitive aid group. In the cognitive aid group, the cognitive aid was read by the same facilitator for every scenario.
RESULTS: No significant difference concerning the duration of the procedure was identified between the cognitive aid and control groups: 412 s [342; 420] vs. 374 s [338;402], respectively (p = 0.781). Nevertheless, there were significantly fewer deviations from hygiene guidelines and improved prevention of air embolism in the cognitive aid group compared with the control group.
CONCLUSIONS: The UVC insertion time was similar between the control and cognitive aid groups. Moreover, cognitive aid can limit infectious complications or air embolism by allowing caregivers to follow UVC placement standards.
METHODS: This was a prospective single-center randomized study. A total of 23 dyads for a simulation scenario were included: 12 in the control group and 11 in the cognitive aid group. In the cognitive aid group, the cognitive aid was read by the same facilitator for every scenario.
RESULTS: No significant difference concerning the duration of the procedure was identified between the cognitive aid and control groups: 412 s [342; 420] vs. 374 s [338;402], respectively (p = 0.781). Nevertheless, there were significantly fewer deviations from hygiene guidelines and improved prevention of air embolism in the cognitive aid group compared with the control group.
CONCLUSIONS: The UVC insertion time was similar between the control and cognitive aid groups. Moreover, cognitive aid can limit infectious complications or air embolism by allowing caregivers to follow UVC placement standards.
摘要：
背景：新生儿复苏可能需要紧急放置脐静脉导管（UVC）。脐静脉置管可观察到并发症，尤其是在紧张的环境中。受航空环境的启发，医疗常规检查表,也被称为“认知辅助工具”，“确保患者进入手术室后的设备和环境。我们假设，在新生儿复苏模拟情景期间，在分娩室中阅读UVC放置的认知辅助可以（a）提高减少导管插入时间的性能，并且（b）可以限制并发症。
方法：这是一项前瞻性单中心随机研究。总共包括23个模拟情景的二元组：对照组12个，认知辅助组11个。在认知援助组中，每个场景的认知辅助工具都由同一主持人阅读.
结果：认知辅助组和对照组之间在手术持续时间方面没有显着差异：412s[342;420]vs.374秒[338；402]，分别（p=0.781）。然而，与对照组相比,认知辅助组对卫生指南的偏离显著减少,并且空气栓塞的预防得到了改善.
结论：对照组和认知辅助组的UVC插入时间相似。此外，认知辅助可以通过允许护理人员遵循UVC放置标准来限制感染性并发症或空气栓塞.
方法：这是一项前瞻性单中心随机研究。总共包括23个模拟情景的二元组：对照组12个，认知辅助组11个。在认知援助组中，每个场景的认知辅助工具都由同一主持人阅读.
结果：认知辅助组和对照组之间在手术持续时间方面没有显着差异：412s[342;420]vs.374秒[338；402]，分别（p=0.781）。然而，与对照组相比,认知辅助组对卫生指南的偏离显著减少,并且空气栓塞的预防得到了改善.
结论：对照组和认知辅助组的UVC插入时间相似。此外，认知辅助可以通过允许护理人员遵循UVC放置标准来限制感染性并发症或空气栓塞.
