• Nicoletta Doglioni, Francesco Cavallin, Vincenzo Zanardo, and Daniele Trevisanuto.
• Pediatric Department, Medical School, University of Padua, Azienda Ospedaliera Padova, Padua, Italy.
• J. Matern. Fetal. Neonatal. Med. 2012 Aug 1;25(8):1302-4.

BackgroundThe experience in performing intubation procedures gained by a single operator has been previously reported for adult, but not for neonatal patients.AimIn order to evaluate the process of skill acquisition, we reviewed the first 150 neonatal tracheal intubations performed by a pediatric trainee.MethodsFor logbook purposes, a pediatric trainee prospectively recorded all neonatal tracheal intubation procedures that she performed during a 5-year training period.ResultsDuring the study period, Nicoletta Doglioni performed for 152 intubation procedures. Of the 152 procedures, the author was successful on 120 (79%) occasions. Of these, 77 (64%) were performed on the first attempt, and 43 (36%) on the second attempt. Author successful intubation improved by the training year 1 (67%) to training year 2 (79%), 3 (77%), 4 (80%) and 5 (91%), respectively.ConclusionsIntubation success rate progressively improved with training year experience. A recommended level of proficiency, defined as 90% of procedure success, was obtained after 100 attempts suggesting that a significant amount of experience is needed for obtaining proficiency in neonatal intubation.

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