Research: Simulation training for urgent postnatal fetal tracheal balloon removal: Two learning methods

Eur J Obstet Gynecol Reprod Biol

. 2022 Dec 27;281:92-98.

 doi: 10.1016/j.ejogrb.2022.12.027. Online ahead of print.

Simulation training for urgent postnatal fetal tracheal balloon removal: Two learning methods

Lucy Lehoczky 1Romain Corroenne 2Jimmy Espinoza 2Alireza A Shamshirsaz 2Ahmed A Nassr 2Roopali Donepudi 2Michael A Belfort 2Jonathan Davies 3Nathan C Sundgren 3Alice King 4Timothy Lee 4Sundeep Keswani 4Magdalena Sanz Cortes 5

Affiliations expand


Objective: In fetuses with severe congenital diaphragmatic hernia, fetal endoluminal tracheal occlusion (FETO) with balloon increases survival and reduces morbidity. Balloon removal is often scheduled electively. In urgent cases, in-utero removal is impossible and removal immediately after delivery has to occur, posing risk of death from airway obstruction. Medical staff need training in urgent removal. Ideal training method is unclear; thus, we compared the performance of two groups trained by different methods.

Methods: 24 medical students were randomly assigned to two different learning methods for removal: Group 1 (in-person lecture) and Group 2 (online video). Both methods presented the same information: endoscopic instrument set-up, anatomical landmarks for intubation, and balloon removal. All participants were evaluated using the same instruments and high-fidelity simulator, comparing time for instrument set-up and simulate balloon removal (including removal attempts).

Results: Group 1 took significantly less time for instrument set-up compared to Group 2 [62 (30-92) secs vs 81 (57-108) secs; p < 0.01)]; no difference in time to intubate and locate the balloon [75 (50-173) secs vs 92 (32-232) secs; p 0.42], or number of attempts.

Conclusion: There was no difference between video training and in-person training with regards to the time taken to locate the FETO balloon in the trachea and to simulate its removal.

Keywords: Congenital diaphragmatic hernia; FETO; Fetal endoluminal tracheal occlusion; Simulation.

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